PMC375533_01
Clinical photograph of the patient at initial presentation showing the parotid swelling.
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F1
The swelling was confined to the parotid region (Fig 1, 2) rest of the face including submandibular region appeared normal.
Clinical photograph of the patient (left profile) at presentation showing parotid swelling and the draining sinuses.
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F2
The swelling was confined to the parotid region (Fig 1, 2) rest of the face including submandibular region appeared normal.
CT scan showing mass in the parotid region with erosion of the base of skull, suggestive of a malignant parotid neoplasm.
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F3
The computerized tomographic (CT) scan showed a large parotid swelling extending to the base of skull with involvement of the skull bone (Figure 3).
CT scan showing the mass lesion in the parotid region with extension into left parapharyngeal space and thinning of lateral wall of maxilla.
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F4
The mass lesion was seen extending into the parapharangeal space with thinning of the lateral wall of the maxilla on the left side (figure 4).
Clinical photograph showing the full face of the patient after completion of the treatment, Regression of the parotid swelling can be appreciated
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F5
Based on the clinical, radiological and pathological findings a provisional diagnosis of chronic inflammatory pathology, probably actinomycosis was arrived at and the patient was started empirically on oral penicillin 500 mg 6 hourly for three weeks with complete clinical response (Fig 5, 6).
Clinical photograph (left profile) of the patient after completion of the treatment showing the healed sinuses.
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F6
Based on the clinical, radiological and pathological findings a provisional diagnosis of chronic inflammatory pathology, probably actinomycosis was arrived at and the patient was started empirically on oral penicillin 500 mg 6 hourly for three weeks with complete clinical response (Fig 5, 6).