Recurrent pleomorphic salivary adenoma in submandibular gland

Case presentation: A 26-year-old woman presented to our department via her GP with two distinct lumps in her right anterior neck. Clinical history revealed she had surgery in the right submandibular gland in Pakistan several years previously. Ultrasound and fine needle aspiration cytology confirmed a recurrent pleomorphic salivary adenoma in the right submandibular gland. An MRI scan was carried out to aid surgical planning and visualised two separate areas of recurrence. The largest was at the anterior inferior aspect of the submandibular gland, and a smaller focus was as the posterolateral aspect, still within submandibular triangle, but separate from gland.

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