PMC4178365_01
(a) Clinical photograph at presentation. (b) Clinical photograph following left superficial parotidectomy
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F1
This was a case report of a 22-year-old female with an unremarkable medical and family history who presented to us with a painless swelling in the left parotid region of 2 years duration, examination revealed a well-circumscribed 3 cm x 3 cm swelling in the left parotid region [Figure 1].
Magnetic resonance imaging scan of the parotid region showing the well-circumscribed 3.5 cm x 2.5 cm cystic lesion in the left parotid region
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F2
A magnetic resonance imaging scan of the parotid region confirmed the nature and extent of the swelling in the left parotid gland [Figure 2].
H and E, x20 -section shows a cystic lesion measuring 3.5 cm x 2.5 cm x 2.5 cm surrounded by normal parotid tissue all around. The cyst is lined by ulcerated stratified squamous epithelium; the cyst wall showed lymphoid tissue with deep seated investigations of the squamous cells, the lumen was filled with necrotic debris, features suggestive of a brachial cleft cyst
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F3
The cyst was lined by ulcerated stratified squamous epithelium; the cyst wall showed lymphoid tissue with deep seated investigations of the squamous cells, the lumen was filled with necrotic debris, features suggestive of a brachial cleft cyst [Figure 3].