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Dairy Farmer With a Rapidly Enlarging Lip LesionQuiz Case
Dana F. Davis, MD;
William H. Petri, DMD, MD, PhD;
Antoinette F. Hood, MD
Eastern Virginia Medical School, Norfolk, Va (Drs Davis and Hood), and private practice, Chambersburg, Pa (Dr Petri)
Arch Dermatol. 2006;142:1059-1064.
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REPORT OF A CASE
A 59-year-old dairy farmer presented with a 2-week history of a nonpainful, rapidly enlarging mass on his lip. The lesion, which had begun as a small erythematous area on the right side of the upper lip, had evolved into a nodule and continued to grow. A primary care physician initially treated the patient with amoxicillinclavulanate potassium, but there was no improvement.
Physical examination revealed a large bulbous mass occupying the entire right side of the upper lip, extending from the mucocutaneous margin into the right nareof the nose (Figure 1). Minimal cervical lymphadenopathy was observed in the midline and right side of the neck. A biopsy specimen was sent for histopathologic examination (Figure 2 and Figure 3).
Figure appears in full text version.
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SECTION EDITOR: MICHAEL E. MING, MD
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Dairy Farmer With a Rapidly Enlarging Lip LesionDiagnosis
Arch Dermatol. 2006;142(8):1059-1064.
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