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    <text>**DISCUSSION CASE**

**Case description:**
A 40 year-old Male presented with the asymptomatic mucosal swelling shown. He has been unaware of the presence of the lesion, which was coincidentally noted during a routine dental examination. His medical history is non-contributory. He is a smoker of 10 years (15 cigarettes per day) and reported consuming 2 alcoholic drinks per day.

**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?

![](14. Salivary gland disease case 2_figures/img_5a7a73bdd6bd1556.webp)</text>
    <formatted_text>#### Patient Presentation and History

A 40-year-old male presented with an asymptomatic mucosal swelling. The patient was unaware of the lesion&amp;apos;s presence; it was discovered coincidentally during a routine dental examination. 

- **Medical History:** Non-contributory.
- **Social History:** 
  - Smoker for 10 years (15 cigarettes per day).
  - Consumes 2 alcoholic drinks per day.

#### Clinical Case 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="155,113,864,474" type="photo" path="14. Salivary gland disease case 2_figures/img_5a7a73bdd6bd1556.webp">
        <description>Close-up clinical photograph showing the patient&amp;apos;s oral cavity, revealing a mucosal swelling inside the cheek. The lesion is described in the &amp;apos;Case description&amp;apos; as an asymptomatic mucosal swelling noted on a 40 year-old Male patient.</description>
      </img>
    </images>
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  <footnotes>[^1]: Original PDF page 1: [[14. Salivary gland disease case 2.pdf#page=1|14. Salivary gland disease case 2, p.1]]</footnotes>
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