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  Vol. 128 No. 7, July 2002 TABLE OF CONTENTS
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  Clinical Problem Solving: Pathology
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Pathology Quiz Case

Jeffrey S. Adams, MD; Michael S. Godin, MD; Nickolaos Tsogas, MD
College of Virginia Campus of Virginia Commonwealth University, Richmond

Arch Otolaryngol Head Neck Surg. 2002;128:853-854.

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

A 71-YEAR-OLD MALE INMATE presented to the otolaryngology service with a 9-month history of an enlarging, painful lesion involving the right side of the upper lip and nose. Initially, the patient noted a "pimple" that did not respond to topical and oral antibacterial therapy. His medical history was remarkable for the removal of a skin cancer on his lower lip 14 years ago at an outside facility. He denied systemic complaints, except for an episode of mild pneumonia 1 year before presentation that had resolved with oral antibiotic therapy. He denied sick contacts, travel, or occupational exposures. He had a 15 pack-year smoking history.

Physical examination revealed a 3 x 3-cm raised, crusted lesion distorting the right side of the upper lip and the right nasal vestibule. The lesion extended superiorly to the columella and inferiorly to the vermilion . . . [Full Text of this Article]







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