RESUMO
A case is described of a patient with a myocutaneous pectoralis major flap who presented with an oral lesion of focal acantholytic dyskeratosis that was clinically suspicious of recurrent tumour.
Assuntos
Acantólise/patologia , Ceratose/patologia , Doenças da Boca/patologia , Transplante de Pele/patologia , Carcinoma de Células Escamosas/patologia , Diagnóstico Diferencial , Seguimentos , Humanos , Pessoa de Meia-Idade , Neoplasias Bucais/patologia , Músculos Peitorais/transplante , Retalhos Cirúrgicos/patologiaRESUMO
Asymmetrical bilateral masseteric hypertrophy or unilateral masseteric hypertrophy may present a diagnostic dilemma. While the history and clinical examination are important in differentiating this benign condition from parotid and dental pathology, they cannot necessarily exclude rarer malignant lesions of or within the muscle itself. We present a case where MRI provided clear and elegant confirmation of our provisional clinical diagnosis by illustrating both the soft tissue features and the logical corresponding bony features of this condition, thus obviating the need for further invasive investigations.