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A Lower Lip Mass

A Lower Lip Mass Clinical Review & Education Clinical Problem Solving | PATHOLOGY Timothy Stoddard, MD; Becky Massey, MD; Evalynne Espejo, MD B C Figure. The 1-cm lower lip mass (A) was biopsied, stained with hematoxylin-eosin, and reviewed under ×10 original magnification (B) and ×2 original magnification (C) magnification, revealing reactive germinal centers with a lymphocyte-rich infiltrate and numerous eosinophils. AnAfricanAmericanmaninhisearly60spresentedwitha3-month mobile lymph node was palpated in the right submandibular space history of lower lip swelling and a 1-week history of a mass on the with no overlying skin changes. A computed tomographic (CT) scan right side of the neck. He reported a slow-growing, painless lump of the neck revealed a level 2 necrotic lymph node on the right side within his lower lip that fluctuated in size between a that of a pea measuring 2 cm with multiple surrounding nodes. Owing to image and a golf ball. He had had no recent illnesses and denied trauma to distortion from dental amalgam, the lower lip could not be the lip, fever, night sweats, or weight loss. There was an occasional assessed on CT scan. Results from laboratory studies included a burning sensation within the lip, but no ulceration or bleeding. He white blood http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Otolaryngology - Head & Neck Surgery American Medical Association

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Publisher
American Medical Association
Copyright
Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6181
eISSN
2168-619X
DOI
10.1001/jamaoto.2013.5879
pmid
24309590
Publisher site
See Article on Publisher Site

Abstract

Clinical Review & Education Clinical Problem Solving | PATHOLOGY Timothy Stoddard, MD; Becky Massey, MD; Evalynne Espejo, MD B C Figure. The 1-cm lower lip mass (A) was biopsied, stained with hematoxylin-eosin, and reviewed under ×10 original magnification (B) and ×2 original magnification (C) magnification, revealing reactive germinal centers with a lymphocyte-rich infiltrate and numerous eosinophils. AnAfricanAmericanmaninhisearly60spresentedwitha3-month mobile lymph node was palpated in the right submandibular space history of lower lip swelling and a 1-week history of a mass on the with no overlying skin changes. A computed tomographic (CT) scan right side of the neck. He reported a slow-growing, painless lump of the neck revealed a level 2 necrotic lymph node on the right side within his lower lip that fluctuated in size between a that of a pea measuring 2 cm with multiple surrounding nodes. Owing to image and a golf ball. He had had no recent illnesses and denied trauma to distortion from dental amalgam, the lower lip could not be the lip, fever, night sweats, or weight loss. There was an occasional assessed on CT scan. Results from laboratory studies included a burning sensation within the lip, but no ulceration or bleeding. He white blood

Journal

JAMA Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Feb 1, 2014

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