A 34-year-old man presented with carcinoma of the glottis, stage T4N1M0, and underwent a total laryngectomy with bilateral selective neck dissection. His postoperative recovery was uneventful, and he had resumed full oral intake by postoperative day 8. Six weeks after surgery, a painless swelling developed in the right submandibular region. Physical examination revealed a firm, nonpulsatile 3×2-cm mass with restricted mobility. The scar had healed well and the tracheal stoma site was healthy. The findings of the rest of the physical examination were normal.
Kamath A, Nagarajan G, Kulkarni AV, Kulkarni S, Deshpande MS, D’cruz A. Radiology Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2008;134(4):443. doi:10.1001/archotol.134.4.443