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    <text># **DISCUSSION CASE**

**Case description:**

**48-year-old Female presented with asymptomatic lesion shown. She has been aware of the presence of the lesion over the last two months. Her medical history is non-contributory. She is a non-smoker and does not drink alcohol.**

**Activity:**

1. Identify the pathosis and describe the clinical features
2. What is the differential diagnosis?
3. What are the relevant clinical investigations?
4. What is the diagnosis?
5. How would you manage this patient?

![](13. Salivary gland disease case 1_figures/img_1f8b96a8b8f7223f.webp)</text>
    <formatted_text>#### Patient Presentation and History

A 48-year-old female presented with an asymptomatic oral lesion. The patient has been aware of the lesion&amp;apos;s presence for approximately two months. 

**Key Patient Factors:**
- **Medical History:** Non-contributory.
- **Social History:** Non-smoker; does not consume alcohol.

#### Clinical Assessment Activity

1. Identify the pathosis and describe the clinical features.
2. What is the differential diagnosis?
3. What are the relevant clinical investigations?
4. What is the diagnosis?
5. How would you manage this patient?</formatted_text>
    <images>
      <img bbox="154,89,893,466" type="photo" path="13. Salivary gland disease case 1_figures/img_1f8b96a8b8f7223f.webp">
        <description>A clinical photograph showing an internal view of a patient&amp;apos;s oral cavity, specifically the vestibular tissue near the teeth. Under the heading &amp;apos;DISCUSSION CASE&amp;apos;, the image depicts the asymptomatic lesion mentioned in the case description, featuring a reddish, hyperemic area of soft tissue.</description>
      </img>
    </images>
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  <footnotes>[^1]: Original PDF page 1: [[13. Salivary gland disease case 1.pdf#page=1|13. Salivary gland disease case 1, p.1]]</footnotes>
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