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Jeremy S. Perlman, BA; Steven D. Pletcher, MD; Brian L. Schmidt, MD, DDS, PhD; David W. Eisele, MD
University of California, San Francisco

Arch Otolaryngol Head Neck Surg. 2004;130:791.

	Since this article does not have an abstract, we have provided the first 146 words of the full text and any section headings.

A 28-year-old woman with a 10-month history of gingival bleeding and a loose tooth was noted to have a gingival mass in the left side of her mouth. Her medical history was significant for depression, generalized fatigue, intermittent lower extremity weakness, and kidney stones. Examination revealed a 5 x 2-cm flesh-colored exophytic lesion on the leftlingual aspect of her mandible (Figure 1), as well as a loose tooth (No. 19). A panoramic x-ray film showed multiple osteolytic mandibular lesions and loss of the lamina dura surrounding the teeth (Figure 2). A tooth extraction was performed. Biopsy of the gingival mass revealed the pathologic findings shown in Figure 3. Diagnostic laboratory studies were performed.

Figure appears in full text version. Figure 1.

Figure appears in full text version. Figure 2.

Figure appears in full text version. Figure 3.

What is your diagnosis?

SECTION EDITORS: FREDERIC B. ASKIN, MD; WILLIAM H. WESTRA, MD

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Arch Otolaryngol Head Neck Surg. 2004;130(6):793-794.
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