A rare case of large submandibular sialolith with spontaneous extrusion

Sialolithiasis is one of the commonest disease of salivary glands. Submandibular salivary gland or its duct is a major site of sialolithiasis and it is always leads to sialadenitis. However large sialolith formation and self-extrusion is a rare condition. A case of submandibular sialolithiasis is reported where patient presents with recurrent submandibular swelling and subsequently end up with a spontaneous extrusion. The mechanisms and management of the salivary gland calculi are also discussed.

Hypopharyngeal cancer masquerading as a thyroid mass

Hypopharyngeal cancer (HPC) is generally a rare head and neck malignancy. There are differing clinical presentations depending on the subsite location of primary tumour. Advanced HPC will have neck node metastasis particularly upper jugulodigastric nodes. We report a patient with postcricoid tumour who presented with anterior huge neck swelling mimic thyroid mass. The patient first presented to the General Surgical Unit for management of presumed thyroid lesion. She was diagnosed post-cricoid squamous cell carcinoma when further assessed by otorhinolaryngologist.