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  Vol. 150 No. 10, October 1996 TABLE OF CONTENTS
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Pathological Case of the Month

Robin E. Howell, DDS; M. Michael Cohen, Jr, DMD, PhD

Arch Pediatr Adolesc Med. 1996;150(10):1103-1104.

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

A 3-MONTH-OLD previously healthy white male infant was admitted with a lump on his lower jaw of 2 weeks' duration. During this time he had also lost 1.8 kg and had not taken solids well.

Physical examination revealed a palpable 4x6-cm hard mass on the left side of the mandible that protruded into the oral cavity. Results of physical examination were otherwise unremarkable and complete blood cell count and urinalysis results were normal. Radiographs (Figure 1) showed a rounded lesion in the central portion of the left mandible. The expanded area had exceptionally fine bone trabeculation. An intraoral biopsy specimen was taken (Figure 2) and the tumor was resected.

Two months following surgery, the tumor reappeared and grew rapidly with more extensive involvement than when the patient was first seen. A 24-hour urine collection was analyzed for vanillylmandelic acid level, which was found to be elevated. Results of a bone . . . [Full Text PDF of this Article]


Author Affiliations

From the Division of Oral and Maxillofacial Pathology (Drs Howell and Cohen) and the Department of Pediatrics (Dr Cohen), Dalhousie University, Halifax, Nova Scotia, Canada.



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