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Thomas Walker; Theodore Chen, MD; Christopher M. Bergeron, MD; Nancy J. Fischbein, MD; Michael J. Kaplan, MD; Ashkan Monfared, MD
Wayne State University School of Medicine, Detroit, Michigan (Mr Walker), and Stanford University Medical Center, Stanford, California (Drs Chen, Bergeron, Fischbein, Kaplan, and Monfared)

Arch Otolaryngol Head Neck Surg. 2008;134(3):328.

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

A 55-year-old man presented with a 22-year history of an enlarging, ulcerating mandibular mass. He reported noticing a "pea-size" mass after a dental procedure and having an x-ray film that showed a "jaw tumor." He did not initially seek medical attention because of his religious beliefs. Eventually, the mass ulcerated and over time made chewing impossible. The patient reported a 11-kg weight loss over the previous 2 years, without any loss of appetite.

Physical examination revealed a 32 x 32 x 5-cm firm mass involving most of the mandible. Two areas of skin ulceration were noted: one superiorly, measuring 15 x 12 cm, and one more inferiorly, measuring 4 x 2 cm. The mass involved the left floor of the mouth and nearly the entire mandible and displaced maxillary teeth. . . . [Full Text of this Article]

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Arch Otolaryngol Head Neck Surg. 2008;134(3):330.
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