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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 328:1625-1631 June 3, 1993 Number 22
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Case 22-1993— A 22-Year-Old Man with 20 Months of Progressive Swelling of the Face
Thomas G. Cropley, and Judith A. Ferry

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Presentation of Case

A 22-year-old man was admitted to the hospital because of increasing swelling of the face.

The patient had been well until 20 months earlier, when a swelling developed on the inner aspect of the right upper lip, with firm, slightly tender nodules. The lesions enlarged gradually, and the patient soon detected a second, similarly affected area along the buccal mucosa beside the right lower jaw.

Ten months before admission a biopsy of the lesions was performed elsewhere. Microscopical examination of the specimen was reported to show a dense inflammatory infiltrate that included lymphocytes and histiocytes, with foci of necrosis. The . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Thomas G. Cropley's Diagnosis

Pathological Discussion

Anatomical Diagnosis

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