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Physical Examination

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Oral cavity examination shows a 3 × 2 cm ulcerative lesion on the buccal aspects of teeth #2 to #4 with slight extension onto the palatal aspect of these teeth. No obvious loose teeth, but there is fleshy tissue at the site of the previously extracted tooth #3. His upper teeth are otherwise intact.

Neck exam revealed a 1.5 cm, firm, mobile, slightly tender right level 1b neck mass. No other neck masses were noted. No trismus or paresthesias noted. The rest of the examination is within the normal limits. Cranial nerves II–XII are intact.

Essential Cases in Head and Neck Oncology

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