MALIGNANT GRANULOMA OF THE FACE

Abstract

FOR MANY years cases of destructive, usually fatal, idiopathic granulomatous ulcerating lesions of the facial structures have been encountered. These have been reported in the medical literature under a variety of titles. Although not common, this entity must be of much more frequent occurrence than seems indicated by the number of cases hitherto reported. In this country, reviews, some of them extensive, have appeared in the otorhinolaryngologic literature only, and it is therefore probable that numerous instances of the syndrome have been overlooked or classified as some other condition by those not aware of its existence. It is my purpose at this time to present a review and two additional instances of this little-known but important entity. REPORT OF CASES Case1.—A 27-year-old white woman was admitted to the Los Angeles General Hospital in December, 1949, because of a persistent sore throat of six weeks' duration, which had not