PMC3591091_01
(Case 2) White arrow-well-defined mid cheek, infrazygomatic, mass lesion with no evident facial nerve palsy; inset-lateral view
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F3
A 52-year-old female patient presented with a swelling over the left cheek of 2 years duration [Figure 3].
(Case 2) Intraoperative findings of the tumor in accessory lobe of parotid with splayed zygomaticotemporal branch and its relation to the Stensen's duct
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F4
Zygomatico-temporal division and the buccal branches of the facial nerve were on either side of the tumor and splayed by it [Figure 4].
(Case 2) Postop status with the evident "hallow mid cheek" (thin arrow). Modified Blair's incision for excision of tumor with superficial parotidectomy (thick arrow).
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F5
Supraomohyoid neck node dissection was combined with this procedure [Figure 5].
(Case 2) 6 months post op showing complete recovery of facial nerve palsy
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F6
Postoperatively, patient had mild paresis of the buccal and the zygomatic branches of the facial nerve which recovered in 6 months [Figure 6].
(Case 2) HPE-salivary gland parenchyma with infiltrating malignant cells arranged in diffuse sheets and involving the circumferential resected margins. Inset-round to oval cells with hyperchromatic nucleus. S/0- Diffuse small cell type NHL (H&E x20; inset, x400)
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F7
The histopathology of the tumor was diffuse small cell type NHL of the accessory parotid gland with circumferential and deep margin involvement with no lymph node foci of tumor [Figure 7].