A 25-year-old woman presented with 3- to 4-week history of a unilateral, nontender, rapidly enlarging mass in the right side of her neck. Her medical history was remarkable only for radiation exposure near Chernobyl when she was 6 years old. Physical examination revealed a firm, mobile, 1.5-cm mass that was contiguous with the right submandibular gland. There were no cranial nerve defects. A computed tomographic scan identified a right submandibular gland mass (Figure 1). The findings of fine-needle aspiration biopsy were nondiagnostic, however, demonstrating only normal salivary gland tissue. Surgical excision revealed a large, firm gland and inflammation along the anterior border of the sternocleidomastoid muscle and submandibular floor, along with submandibular lymphadenopathy.
Jung D, Hasserjian RP, Faquin WC, Deschler DG. Pathology Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2011;137(4):411. doi:10.1001/archoto.2011.49-a