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  Vol. 128 No. 6, June 2002 TABLE OF CONTENTS
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  Clinical Problem Solving: Radiology
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Radiology Quiz Case

Soly Baredes, MD; Huey-Jen Lee, MD; Jean Anderson Eloy
University of Medicine and Dentistry of New Jersey, Newark

Arch Otolaryngol Head Neck Surg. 2002;128:723-724.

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

A 31-YEAR-OLD man with no significant medical history presented with a 1-year history of a progressively enlarging, nontender, submandibular mass on the right side. He reported only that it was difficult for him to speak clearly. On physical examination, a 10-cm soft, nontender mass of lipomatous consistency was palpable at the level of the right submandibular gland. The tongue was slightly displaced to the left. No lymphadenopathy was palpable in the head and neck.

Magnetic resonance imaging (MRI) of the head and neck revealed a 10-cm heterogeneous mass with multiple spherical nodules (Figure 1, Figure 2, and Figure 3).


Figure 1.


Figure 2.


Figure 3.

What is your diagnosis?


Diagnosis: Epidermal inclusion cyst with intracystic keratin debris

Epidermoids are ectoderm-lined (squamous epithelium) inclusion cysts that arise from trapped pouches of ectoderm near normal folds or from failure of surface ectoderm to separate from the neural . . . [Full Text of this Article]



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