ABSTRACT
UNLABELLED: Infective and neoplastic swellings of the face are common. Often, the differential diagnosis is obvious, but sometimes it can be difficult to ascertain. We report the case of a cheek swelling thought to be infective in origin, but this unusual lesion turned out to be a diffuse large B-cell lymphoma. This was found to be a solitary cutaneous lesion, with associated submandibular lymphadenopathy. The initial plan was for treatment with chemo-radiotherapy, however, the lesion has, surprisingly, begun to resolve spontaneously following biopsy. CLINICAL RELEVANCE: The most frequent cause of facial swellings presenting to dentists is infective, usually from dental sources, but other causes of facial swelling do need to be considered.
Subject(s)
Facial Neoplasms/pathology , Lymphoma, Large B-Cell, Diffuse/pathology , Skin Neoplasms/pathology , Aged, 80 and over , Diagnosis, Differential , Humans , Male , Neoplasm Regression, Spontaneous , Periapical Abscess/diagnosisABSTRACT
This is an unusual case of a lateral dermoid cyst that caused some diagnostic confusion.
Subject(s)
Dermoid Cyst/pathology , Salivary Gland Neoplasms/pathology , Submandibular Gland/pathology , Adult , Dermoid Cyst/surgery , Diagnosis, Differential , Humans , Male , Neck Dissection , Salivary Gland Neoplasms/surgery , Submandibular Gland/surgery , Tomography, X-Ray ComputedABSTRACT
A patient presented with a benign schwannoma of the cervical phrenic nerve on the left side of the neck. Analysis of the aspirate suggested the diagnosis and it was confirmed on imaging. The patient had the lesion excised with preservation of the phrenic nerve.
