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  Vol. 126 No. 5, May 2000 TABLE OF CONTENTS
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Quiz Case 3

Arch Otolaryngol Head Neck Surg. 2000;126:678-683.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

AN 8-YEAR-OLD boy presented with a 1-month history of a painful tongue lesion. He was in good health and without complaints. He had no fever, chills, or weight loss. He wore a quad-helix palatal expansion prosthesis for a narrow palate. Physical examination revealed a 1 x 2-cm ulcerative mass on the posterior right aspect of his tongue (Figure 1). The findings of the rest of the physical examination were unremarkable.


Figure 1.

The patient's parents desired a definitive diagnosis. The lesion was removed by excisional biopsy. The patient was instructed to stop wearing his palatal prosthesis, and the wound healed without complication or recurrence. Histologic examination of the biopsy specimens (Figure 2 and Figure 3) revealed acute and chronic inflammation with mucosal ulceration and granulation tissue with moderate eosinophilia.


Figure 2.


Figure 3.

What is your diagnosis?

CPT Philip D. Littlefield, MC, USA; Mark J. Syms, . . . [Full Text of this Article]







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