<html><head><meta http-equiv="Content-Type" content="text/html charset=utf-8"></head><body style="word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space;" class=""><div class="">I’m so sorry to read this, Marsha. You might join the Yahoo feline cancer group and post your question there.</div><div class=""><br class=""></div><div class="">Best hopes for Harley,</div><div class=""><br class=""></div><div class="">Lance</div><br class=""><div><blockquote type="cite" class=""><div class="">On Mar 15, 2015, at 3:36 PM, Marsha <<a href="mailto:martia@lynxe.com" class="">martia@lynxe.com</a>> wrote:</div><br class="Apple-interchange-newline"><div class=""><span style="font-family: Helvetica; font-size: 12px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); float: none; display: inline !important;" class="">Harley had a CT scan on Monday, and needle biopsy Friday. Saturday (yesterday) the report came back that he has cancer. It is in the area of his right middle ear and TMJ. By the CT images, it does not appear to be something operable - it does not have distinct borders and there is no room to get margins. I have many things to discuss with vets tomorrow: comfort care for the time being for sure; how effective is radiation treatment vs. benefit to Harley; are there any chemo protocols for this that can help? Also they push for a full biopsy requiring surgery because the diagnosis will be more "definitive" and they could stage the cancer then. But I question the cost (both money and physical discomfort to Harley) vs. benefit to him. How will the full biopsy change potential treatment? It will cost money, has risk due to anesthesia, location of mass, and possible infection, and will cause him some pain afterwards. Is it worth it for the extra bit of detail? Below is the report if you're interested, and able to read the technical stuff. One note on the final comment that radiographs are recommended to rule out bone involvement: the CT scan showed already showed bone lysis (erosion), but the pathologist did not have access to the info from the CT scan.</span><br style="font-family: Helvetica; font-size: 12px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);" class=""><br style="font-family: Helvetica; font-size: 12px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);" class=""><span style="font-family: Helvetica; font-size: 12px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); float: none; display: inline !important;" class="">In the meantime, Harley has gotten meloxicam or buprenorphine when he doesn't want to eat. The anti-inflammatory effects of meloxicam give him relief for 4 days or so, allowing him to eat comfortably. I just worry about potential kidney toxicity with that drug, so they have to be really careful about dosing, and the risk goes up long-term. I wouldn't ordinarily say yes to that drug, but it helps him. And if he's not going to make it long-term, the kidney concern takes back seat to his comfort. The buprenorphine doesn't help nearly as much, but may make him feel good. He has been eating all his food for the last 5 days, and plays and grooms himself. A little more subdued than usual, but he has a big burst of energy after his breakfast or dinner.</span><br style="font-family: Helvetica; font-size: 12px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);" class=""><br style="font-family: Helvetica; font-size: 12px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);" class=""><span style="font-family: Helvetica; font-size: 12px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); float: none; display: inline !important;" class="">Marsha</span><br style="font-family: Helvetica; font-size: 12px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);" class=""><br style="font-family: Helvetica; font-size: 12px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);" class=""><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">CLINICAL INFORMATION:</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">Mass adjacent to/involving the right tympanic bulla; painful to open</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">mouth; bulge palpated through skin medial to the right caudal mandible</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">suspected to be the mass; blind aspirate; concern for carcinoma;</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">patient is FeLV positive; regional node (and all peripheral nodes)</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">palpate normal</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""></font><br class=""></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">SOURCE:</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">Mass adjacent to roof of mouth right side: 12 slides</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""></font><br class=""></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">DESCRIPTION/MICROSCOPIC FINDINGS/COMMENTS:</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""></font><br class=""></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">Microscopic Description: The smears are low to moderately cellular on</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">a clear background with moderate blood contamination, many scattered</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">platelet clumps and a low to moderate number of ruptured cells. Few</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">small, loosely cohesive clusters of polygonal to cuboidal epithelial</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">cells are observed. This population exhibits mild to moderate</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">anisocytosis and anisokaryosis. The cells have a small amount of</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">variably staining purple cytoplasm and a round central nucleus. The</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">nuclei have finely stippled to reticular chromatin and often 1-2,</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">small prominent nucleoli. There are also rare mesenchymal cells noted</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">displaying oval nuclei, one to three small nucleoli and moderate</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">amounts of basophilic cytoplasm. This population exhibits mild to</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">moderate anisocytosis and anisokaryosis and occasionally surrounds a</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">small to moderate amount of pink extracellular matrix. No infectious</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">agents or cytologic evidence of inflammation are observed.</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""></font><br class=""></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">Microscopic Findings: EPITHELIAL NEOPLASIA; MILD TO MODERATELY</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">ATYPICAL MESENCHYMAL CELLS</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""></font><br class=""></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">Comment: The observed epithelial population exhibits only mild atypia</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">but based on the number seen and the provided history raise concern</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">for a well-differentiated, malignant neoplasm. Cell morphology of</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">this population is most consistent with a basal cell, ceruminous gland</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">or apocrine gland population. Significance of the rare mesenchymal</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">cells is uncertain (they could be a fibrous component associated with</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">the mass/granulation tissue, connective tissue, possibly rare cells</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">associated with a well-differentiated mesenchymal tumor). Tissue</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">biopsy with histopathology is recommended for a specific diagnosis.</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">Radiographs of the area are also recommended to completely rule out</font></font></font></p><p class="western" style="margin-bottom: 0in; direction: ltr; line-height: 14.666667938232422px; widows: 2; orphans: 2; font-family: 'Helvetica Light', serif; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"><font class=""><font face="Arial, serif" class=""><font size="2" class="">underlying bone involvement.</font></font></font></p><br style="font-family: Helvetica; font-size: 12px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; 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