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January 2, 2020

Mantle Cell Lymphoma Involving Major and Minor Salivary Glands With Parotid Sparing

Author Affiliations
  • 1University of Iowa Hospitals & Clinics, Iowa City
JAMA Otolaryngol Head Neck Surg. Published online January 2, 2020. doi:10.1001/jamaoto.2019.4116

A man in his 70s with no significant medical history presented with bilateral neck swelling of 1 year’s duration. The enlargement was painless, gradually growing, and affecting his speech. Swallowing, eating, and breathing were not affected. The patient reported no fevers, chills, or night sweats. Examination showed bilateral submandibular and sublingual gland enlargement with enlarged Wharton ducts (Figure 1). Firm enlarged minor salivary glands along the palate and buccal mucosa bilaterally were also found. Transnasal laryngoscopy showed a round, nonobstructing 5-mm subglottic nodule with unremarkable vocal cords.