A 5-year-old boy presented with a several-year history of a mass in the left side of his neck. The mass had fluctuated slightly in size since its onset but had recently become more noticeable. The patient had no history of pain, fevers, or other cervical masses. His medical history was significant only for neurofibromatosis 1 (NF1). Physical examination revealed a nontender, 2 × 2-cm left-sided neck mass that was located in the submandibular and jugulodigastric region. There was a visible fullness in the submucosal region of the left anterior floor of the mouth. A computed tomographic scan revealed an irregularly shaped, centrally hypodense lesion in the left submandibular region.
Tanna N, Joshi AS, Sidell D, Misra S, Santi M, Collins WO. Pathology Quiz Case 1. Arch Otolaryngol Head Neck Surg. 2007;133(3):302. doi:10.1001/archotol.133.3.302