An African American man in his early 60s presented with a 3-month history of lower lip swelling and a 1-week history of a mass on the right side of the neck. He reported a slow-growing, painless lump within his lower lip that fluctuated in size between a that of a pea and a golf ball. He had had no recent illnesses and denied trauma to the lip, fever, night sweats, or weight loss. There was an occasional burning sensation within the lip, but no ulceration or bleeding. He developed a tender mass on the right side of the neck 7 days prior to evaluation and went to an emergency department, where he was treated with a 7-day course of Augmentin, 875 mg/125 mg. The neck mass decreased in size, but that in the lower lip did not change. He had a smoking history of 35 pack-years.
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