#february2020mccqe1
A 38-year-old woman visits the clinic because of oral tenderness and soreness in her jaw for the past 2 months. She admits that swallowing food has become more painful. She notices that her mouth is chronically dry and that drinking lots of fluids seems to reduce the pain. She has a normal appetite but reports that she has lost 2 kg (5 lb) and is eating less because of the pain upon swallowing most foods. Physical examination reveals parched lips, dry oral mucous membranes, and bilaterally enlarged parotid glands with a firm, smooth texture. Needle biopsy of the salivary gland tissue reveals a dense, lymphocytic infiltrate with loss of many glands. Residual glands have prominent intraductal cellular proliferation. Which of the following is the most likely diagnosis in this patient?
(A) Mucoepidermoid carcinoma
(B) Pleomorphic adenoma
(C) Sarcoidosis
(D) Sjögren syndrome
(E) Squamous cell carcinoma
(F) Warthin tumor
A 38-year-old woman visits the clinic because of oral tenderness and soreness in her jaw for the past 2 months. She admits that swallowing food has become more painful. She notices that her mouth is chronically dry and that drinking lots of fluids seems to reduce the pain. She has a normal appetite but reports that she has lost 2 kg (5 lb) and is eating less because of the pain upon swallowing most foods. Physical examination reveals parched lips, dry oral mucous membranes, and bilaterally enlarged parotid glands with a firm, smooth texture. Needle biopsy of the salivary gland tissue reveals a dense, lymphocytic infiltrate with loss of many glands. Residual glands have prominent intraductal cellular proliferation. Which of the following is the most likely diagnosis in this patient?
(A) Mucoepidermoid carcinoma
(B) Pleomorphic adenoma
(C) Sarcoidosis
(D) Sjögren syndrome
(E) Squamous cell carcinoma
(F) Warthin tumor
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