
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.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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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).
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Figure 1.
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Figure 2.
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Figure 3.
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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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