case_images: PMC2938633_01
case_images: Clinical photograph showing the lesion
case_images: IJPS-43-84-g001.jpg
case_images: PMC2938633_01_IJPS-43-84-g001.jpg
case_images: F0001
case_images: Within a period of 6 months, the swelling rapidly increased in size and extended superiorly up to the temporal fossa and inferiorly with a huge cervical mass and medially with a buccal and parapharyngeal extension [Figure 1a and b].
case_images: Magnetic resonance imaging scan showing a hyperintense mass on T1-weighted sequence and T2-weighted sequence in the right infratemporal fossa extending along the ramus of the mandible and infiltrating the parotid gland of the lesion
case_images: IJPS-43-84-g002.jpg
case_images: PMC2938633_01_IJPS-43-84-g002.jpg
case_images: F0002
case_images: Magnetic resonance imaging (MRI) showed a hyperintense mass on T1-weighted sequence and T2-weighted sequence in the right infratemporal fossa extending along the ramus of the mandible and infiltrating the parotid gland [Figure 2a and b].
case_images: Magnetic resonance angiogram showing stretching of the right external carotid artery around the mass with no significant vascularity
case_images: IJPS-43-84-g003.jpg
case_images: PMC2938633_01_IJPS-43-84-g003.jpg
case_images: F0003
case_images: It showed stretching of the right external carotid artery around the mass with no significant vascularity [Figure 3].
case_images: Computerized tomogram scan showed a lobulated hypodense mass in the right infratemporal region (HU values are -50- to - 75, indicative of fat) with solid component
case_images: IJPS-43-84-g004.jpg
case_images: PMC2938633_01_IJPS-43-84-g004.jpg
case_images: F0004
case_images: Computerized tomogram (CT) scan showed a lobulated hypodense mass in the right infratemporal region (HU values -50- to - 75, indicative of fat) with solid component [Figures 4 and 5].
case_images: Computerized tomogram scan showed a lobulated hypodense mass in the right infratemporal region (HU values are -50- to - 75, indicative of fat)with solid component
case_images: IJPS-43-84-g005.jpg
case_images: PMC2938633_01_IJPS-43-84-g005.jpg
case_images: F0005
case_images: Computerized tomogram (CT) scan showed a lobulated hypodense mass in the right infratemporal region (HU values -50- to - 75, indicative of fat) with solid component [Figures 4 and 5].
case_images: Surgical incision markings
case_images: IJPS-43-84-g006.jpg
case_images: PMC2938633_01_IJPS-43-84-g006.jpg
case_images: F0006
case_images: The operation was carried out via a pre-auricular incision with submandibular extension [Figure 6a and b].
case_images: Infratemporal mass before excision
case_images: IJPS-43-84-g007.jpg
case_images: PMC2938633_01_IJPS-43-84-g007.jpg
case_images: F0007
case_images: Thereafter, attention shifted to removal of the parotid gland, including its deep lobe, involved by the tumour [Figure 7].
case_images: Excised specimen
case_images: IJPS-43-84-g008.jpg
case_images: PMC2938633_01_IJPS-43-84-g008.jpg
case_images: F0008
case_images: Gross pathological examination revealed a circumscribed lobulated fatty mass measuring 11 cm x 8 cm [Figure 8].
case_images: Histopathology revealed mature fat cells and small lipoblasts of varying size and multiple foci of myxoid degeneration
case_images: IJPS-43-84-g009.jpg
case_images: PMC2938633_01_IJPS-43-84-g009.jpg
case_images: F0009
case_images: The lobules in the mass were well demarcated due to thick fibrous septae [Figure 9].