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

Arch Otolaryngol Head Neck Surg. 1996;122(4):440-444.

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Pathologic Quiz Case 1

John F. Carew, MD; Dennis H. Kraus, MD; Andrew G. Huvos, MD; New York, NY

A 38-year-old white man was referred with an 18-month history of a progressively enlarging right buccal mass. He had difficulty opening his mouth and occasionally inadvertently bit the lesion but denied having pain, difficulty in swallowing, or change in speech.

Physical examination of the patient with his mouth closed revealed a distortion of the right upper lip and lateral displacement of the adjacent cheek area. On opening the patient's mouth, a 6X4X3.5-cm pedunculated, submucosal mass was seen arising from the right buccal mucosa, anterior to Stensen's duct. The mass was firm, mobile, and nontender and did not have any visible discoloration (Figure 1). There was no palpable cervical lymphadenopathy. A magnetic resonance imaging scan was obtained, which showed a right buccal mass abutting the buccinator muscle, without evidence of infiltration (Figure . . . [Full Text PDF of this Article]

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