PMC9834782_01
Clinical photograph showing swelling of the left submandibular gland in a
50-year-old female patient diagnosed with submandibular sialolithiasis.
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The mass was hard, non-tender, mobile, not adherent to the overlying skin or underlying structures, and was not associated with regional lymphadenopathy (Figure 1).
Radiograph of the Jaw (left lateral view) in a 50-year-old female patient
diagnosed with submandibular sialolithiasis.
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No bony involvement was found (Figure 2).
(a) Intraoperative photograph showing the submandibular gland in situ in a
50-year-old female patient diagnosed with submandibular sialolithiasis and
(b) photograph of the cut surface of the submandibular gland from a
50-year-old female patient diagnosed with submandibular sialolithiasis,
showing the encapsulated stone.
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Figure 3a shows the submandibular gland in situ. The cut surface of the gland revealed a rough fibrous mass that enclosed the stone, with compressed glandular structure (Figure 3b).
(a) Photograph of the cut surface of the mass from a 50-year-old female
patient diagnosed with submandibular sialolithiasis, showing the dilated
duct and stone in situ and (b) photograph of the sialolith from a
50-year-old female patient diagnosed with submandibular sialolithiasis.
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The stone was found to measure 2.7 cm x 1.5 cm (Figure 4a and 4b).
(a) Photomicrograph of a haematoxylin and eosin-stained tissue section of the
excised submandibular gland with dilated duct from a 50-year-old female
patient diagnosed with submandibular sialolithiasis (original magnification,
x 40) and (b) photomicrograph of a haematoxylin and eosin-stained tissue
section of the excised submandibular gland with dilated duct from a
50-year-old female patient diagnosed with submandibular sialolithiasis
(original magnification, x 100).
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Histological analysis revealed submandibular gland sialolithiasis with severe ductal squamous metaplasia (Figure 5a and b and Figure 6a and b), and the patient received a definitive diagnosis of submandibular sialolithiasis.
(a) Photomicrograph of a haematoxylin and eosin-stained ductal epithelium
tissue section from a 50-year-old female patient diagnosed with
submandibular sialolithiasis (original magnification, x 40) and (b)
photomicrograph of a haematoxylin and eosin-stained ductal epithelium tissue
section from a 50-year-old female patient diagnosed with submandibular
sialolithiasis, showing squamous metaplasia (original magnification,
x 100).
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Histological analysis revealed submandibular gland sialolithiasis with severe ductal squamous metaplasia (Figure 5a and b and Figure 6a and b), and the patient received a definitive diagnosis of submandibular sialolithiasis.