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Pathology Quiz Case 1
Yuan-Ching Guo, MD;
Ming-Yin Lan, MD;
Shyn-Kuan Tai, MD;
Shyue-Yih Chang, MD;
Winby Chen, MD
Veterans General Hospital-Taipei and National Yang-Ming University, Taipei, Taiwan
Arch Otolaryngol Head Neck Surg. 2002;128:1099-1101.
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IN SEPTEMBER 2000, a 38-year-old man presented with a 2-month history of a slow-growing, indurated, nontender, fixed mass, measuring 2 x 3 cm, in the right submandibular area. He reported a decline in body weight but denied fever, dentalgia, and odynophagia. A physical examination of his oral cavity demonstrated some buccal leukoplakia located near the right lower molar, but the dentition appeared intact, without carious teeth. Computed tomographic scans of the patient's neck revealed abnormal enhancement in the inferior aspect of the right submandibular gland, with involvement of the platysma muscle and the presence of a "dirty fat" sign in adjacent fat planes (Figure 1), but no associated abnormalities were observed in the mandible. A malignancy was highly suspected, followed by a chronic granulomatous process, such as tuberculosis or nocardiosis. With the patient . . . [Full Text of this Article]
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