A woman in her 70s with a history of sarcoidosis presented with progressive supraclavicular, facial, and mandibular swelling of 3 months’ duration. She reported pain with chewing, which led to a 5-kg weight loss, but denied trismus. On examination, there was craniofacial deformity with left facial preauricular swelling. The left parotid was firm and a fixed mass was felt throughout the left preauricular space, expanding into the temporomandibular joint area and zygoma. Soft-mobile lymphadenopathy was palpable in the left neck, and a firm, adherent, immobile right supraclavicular mass extended under the clavicle. Cranial nerve examination findings were normal.
Davis RJ, Mydlarz WK. An Aggressive Mandibular Mass. JAMA Oncol. 2017;3(2):271-272. doi:10.1001/jamaoncol.2016.5648