case_images: PMC5932524_01
case_images: CT scan with contrast axial view. Despite severe metal streak artefacts due to presence of amalgam, a homogenous enhancing lesion measuring about 17*15 mm is demonstrated in the deep portion of left parotid gland.
case_images: CRIPA2018-2915907.001.jpg
case_images: PMC5932524_01_CRIPA2018-2915907.001.jpg
case_images: fig1
case_images: (a) & (b) low and high power view of aspirated material showing mixture of variably sized lymphocytes with few clusters of ductal epithelial cells ((a) x10 and (b) x40 papanicolaou stain). (c) & (d) low and high power view of the same material showing lymphocytic background with some dense proteinaceous material and ductal epithelial clusters ((a) x10 and (b) x40 wright stain).
case_images: CRIPA2018-2915907.002.jpg
case_images: PMC5932524_01_CRIPA2018-2915907.002.jpg
case_images: fig2
case_images: Therefore the diagnosis was made as benign process, suggestive of intrasalivary gland lymph node with reactive changes (Figure 2).
case_images: Gross appearance of mass. There is a well-defined tan-brown mass with solid cut surface attached to normal parotid tissue.
case_images: CRIPA2018-2915907.003.jpg
case_images: PMC5932524_01_CRIPA2018-2915907.003.jpg
case_images: fig3
case_images: No necrosis or hemorrhage was seen (Figure 3).
case_images: Sebaceous lymphadenoma micrograph ((a) x10). The tumor is biphasic composed of epithelial nests and lymphoid background; ((b) x40) solid nests with squamous and sebaceous differentiation.
case_images: CRIPA2018-2915907.004.jpg
case_images: PMC5932524_01_CRIPA2018-2915907.004.jpg
case_images: fig4
case_images: The lymphoid background was composed of multiple lymphoid follicles with germinal centers (Figure 4).