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Pathology Quiz Case 1
Justin Turner, BS;
Margaret Skinner, MD;
Michael J. Caplan, MD;
M. Boyd Gillespie, MD
Medical University of South Carolina, Charleston
Arch Otolaryngol Head Neck Surg. 2007;133(6):620.
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A 21-month-old boy presented 6 weeks after falling off a bar stool and striking the left side of his face and jaw. After the fall, a firm swelling developed along the left jawline. The swelling, which had initially resolved, subsequently recurred and progressively enlarged. The patient had no oral bleeding and was consuming a normal diet at presentation. His mother treated his occasional discomfort effectively with acetaminophen. His medical history was unremarkable.
Physical examination revealed a smooth, nontender mass at the angle of the mandible. Intraoral examination demonstrated a submucosal swelling of the posterior left lower alveolus and retromolar trigone. No trismus, cranial nerve neuropathy, or lymphadenopathy was noted. Magnetic resonance imaging demonstrated a uniform gadolinium-enhancing mass with expansile growth from the posterior body and ramus of the mandible (Figure 1). The lesion was . . . [Full Text of this Article]
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