PMC4451650_01
Patient's front view
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F1
On extraoral examination, diffuse bilateral parotid swellings were present measuring about 4 x 3 cm on right side and 3 x 2.5 cm on left side [Figures 1-3].
Parotid swelling on right side
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F2
On extraoral examination, diffuse bilateral parotid swellings were present measuring about 4 x 3 cm on right side and 3 x 2.5 cm on left side [Figures 1-3].
Parotid swelling on left side
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F3
On extraoral examination, diffuse bilateral parotid swellings were present measuring about 4 x 3 cm on right side and 3 x 2.5 cm on left side [Figures 1-3].
CT showing enlarged parotid and submandibular glands with multiple cystic locules and thinned out parenchyma. CT = Computed tomography
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F4
Computed Tomography (CT) scan showed enlarged parotid and submandibular glands with multiple cystic locules and thinned out parenchyma [Figure 4].
FNAC showing salivary gland acinar and ductal cells with sheets of lymphocytes (H&E stain, x100). FNAC = Fine-needle aspiration cytology
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F5
Fine-needle aspiration cytology (FNAC) revealed salivary gland acinar and ductal cells with sheets of lymphocytes [Figures 5 and 6].
FNAC showing salivary gland acinar and ductal cells with sheets of lymphocytes (H&E stain, x400). FNAC = Fine-needle aspiration cytology
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F6
Fine-needle aspiration cytology (FNAC) revealed salivary gland acinar and ductal cells with sheets of lymphocytes [Figures 5 and 6].
Minor salivary gland biopsy did not show lymphocytic infiltration (H&E stain, x40)
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F7