Clinical Photo of The Week: Vol2, No1

This case was presented in the recent edition of the otorhinolaryngology news (vol2n01):
A 66-year old male presented with recurrent painful swelling right upper neck of 2 months duration. The painful swelling was worse during feeding. He had no dental or pharyngo-laryngeal symptoms. Examination revealed the feature (white arrow) on this picture. CT-Scan showed a well encapsulated mass with solitary extra capsular node about 0.75 cm diameter.

Diagnosis: Submandibular swelling, which on excision was histologically was diagnosed monomorphic adenoma, and the solitary node overlying the capsule reactive inflammatory. We refrained from FNAC of this mas because of its appearance on CT - the fear of seedling tumour cells into extracapsular space.