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January 1990

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1990;116(1):110-113. doi:10.1001/archotol.1990.01870010114034

PATHOLOGIC QUIZ CASE 1  CPT Deborah A. Mitchell, MC, USA, MAJ Lawrence P. A. Burgess, MC, USA, Washington, DCA 52-year-old Hispanic woman presented to her local dentist with a 3-month history of mild discomfort and loosening of teeth 9, 10, and 11 in her left maxilla. The patient denied tobacco or alcohol use. She was otherwise in good health with no other medical problems and was taking no medications. Examination revealed a hard, submucosal mass along the left buccal cortex of the maxillary alveolus involving the left incisors and the canine, and extending along the hard palate up to the midline and posteriorly to the level of the second molar. There was minimal ulceration along the buccal surface. Results of the remainder of the head and neck examination were normal. A panoramic roentgenogram revealed severe bony loss surrounding the involved teeth. A computed tomographic scan demonstrated local swelling of

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