PMC9527843_01
Clinical picture
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A 23-year-old male was referred to the outpatient unit of the surgery department, with a left side neck swelling of 1-month duration [Figure 1].
Computed tomography scan. (a) Axial view, (b) coronal view showing the cystic area (*)
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Operative picture in sequence (a --> e) (a) anatomical surface markings (b) sub-mandibular incision given (c) swelling exposed and dissection done (d) specimen retrieved in toto (e) gross specimen
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Incision was followed by exposure of platysma with careful dissection and the lesion was found separate from the left submandibular gland and removed in toto [Figure 3].
Histopathological picture. (a) Cystic lining with lymphoid stroma (H and E, x4), (b) Xanthogranulomatous inflammation and cystic wall showing germinal center, (x10) (c) Cystic wall with foamy histiocytes ( ), giant cell and lymphoid stroma (x10), (d-f) Shows granuloma formation with Touton type giant cells ( ) and foamy histiocytes ( ) (x40)
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Cystic lining revealed granulomatous features with foamy histiocytes, giant cells (Touton type) and lymphocytic infiltrate [Figure 4].