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FREDERIC B. ASKIN, MD; WILLIAM H. WESTRA, MD

Arch Otolaryngol Head Neck Surg. 1995;121(5):584-587.

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

Pathologic Quiz Case 1

Alessandro Franchi, MD; Oreste Gallo, MD; Marco Santucci, MD, Firenze, Italy

A 47-YEAR-OLD man presented with a swelling of the left cheek and spontaneous avulsion of the first right premolar. He had worked in a shoe factory for 15 years, and he was a heavy cigarette smoker and moderate alcohol drinker. A computed tomographic scan showed a massive opacity of the left maxillary sinus. Biopsy material was obtained from the lesion, and a diagnosis of squamous cell carcinoma was rendered. The patient underwent a partial maxillectomy. Three months later, bilateral laterocervical metastases were clinically detected. A right radical neck dissection and a left modified neck dissection were performed. Histologically, metastatic squamous cell carcinoma was found in two lymph nodes from the upper right side of the neck.

Eight months later, physical examination disclosed a discrete erythematous tender swelling beneath an irregular mucosa in the original . . . [Full Text PDF of this Article]

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