case_images: PMC11340828_01
case_images: Panoramic radiograph with circle showing multiple radiopaque foci in the right submandibular region
case_images: AMS-14-102-g001.jpg
case_images: PMC11340828_01_AMS-14-102-g001.jpg
case_images: ams.ams_217_23-f001
case_images: A panoramic radiograph revealed multiple calcific foci in the right submandibular region, mimicking sialolithiasis [Figure 1].
case_images: Ultrasonography image showing calcifications in the lesion
case_images: AMS-14-102-g002.jpg
case_images: PMC11340828_01_AMS-14-102-g002.jpg
case_images: ams.ams_217_23-f002
case_images: Ultrasonography showed a heteroechoic mass with multiple calcifications, lateral to the submandibular salivary gland, with no obvious duct dilation of the gland [Figure 2].
case_images: Magnetic resonance imaging showing lesion posterolateral to the gland. Red arrow represents lesion and orange arrow represents submandibular gland
case_images: AMS-14-102-g003.jpg
case_images: PMC11340828_01_AMS-14-102-g003.jpg
case_images: ams.ams_217_23-f003
case_images: Magnetic resonance imaging showed a hyperintense lesion with heterogeneous post-contrast enhancement and multiple calcifications within the lesion [Figure 3], suggestive of vascular malformation or haemangioma along with enlarged submandibular lymph nodes.
case_images: Excision of the lesion through right submandibular incision. Solid green arrow shows approach through submandibular incision, solid blue arrow depicts the lesion, solid yellow arrow shows submandibular gland adjacent to the lesion
case_images: AMS-14-102-g004.jpg
case_images: PMC11340828_01_AMS-14-102-g004.jpg
case_images: ams.ams_217_23-f004
case_images: A submandibular incision was used, and blunt dissection was carried out through the subcutaneous fat, fascia and platysma muscle was dissected to expose the lesion [Figure 4].
case_images: Preservation of submandibular gland - Blue arrow showing site of excised lesion lateral to the submandibular gland. Yellow arrow showing preserved submandibular gland
case_images: AMS-14-102-g005.jpg
case_images: PMC11340828_01_AMS-14-102-g005.jpg
case_images: ams.ams_217_23-f005
case_images: On exposure, the lesion was found to be wellcircumscribed, which facilitated the identification of the boundaries of the lesion to avoid damage to the adjacent submandibular gland [Figure 5].
case_images: Excised specimen-Gross appearance of excised neoplasm with solid yellow arrow showing phlebolith
case_images: AMS-14-102-g006.jpg
case_images: PMC11340828_01_AMS-14-102-g006.jpg
case_images: ams.ams_217_23-f006
case_images: On gross examination, the specimen measured approximately 2.7 cm x 2.5 cm x 1.5 cm [Figure 6].
case_images: Microscopic examination under 10x magnification using hematoxylin and eosin staining showing enlarged and engorged blood vessels marked with red arrows
case_images: AMS-14-102-g007.jpg
case_images: PMC11340828_01_AMS-14-102-g007.jpg
case_images: ams.ams_217_23-f007
case_images: On microscopic examination, fibrocollagenous tissue was noted with dilated and congested blood vessels [Figure 7].