Primary squamous carcinoma of the submandibular gland: A case report

Primary squamous carcinoma of the submandibular gland: A case report

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The uncommon occurrence of primary squamous carcinoma of the submandibular gland makes it a challenge to diagnose and treat.Clinical as jolly rancher filled gummies well as histopathological assessments are key elements for the diagnosis.Although no clear treatment guidelines exist, surgical excision with a neck dissection is the cornerstone of the treatment with or without adjuvant therapy.In this paper, we report a rare case of a primary squamous carcinoma in an 82-year-old lady with no history of smoking or alcohol use, who presented with a right sided cervical swelling of 3-month duration.An ultrasound guided fine needle aspiration cytology was negative, as well as a panendoscopy with systemic biopsy of the base of tongue and the homolateral palatine tonsil.

In addition, a blind fine needle aspiration cytology from the mass during the panendoscopy was performed and was positive for squamous cell dogbunny carcinoma.A PET scan showed hypermetabolism of the right submandibular gland with no distant lesions.Therefore, a submandibular gland excision was performed with a frozen section histopathological examination in favor of squamous cell carcinoma, therefore the intervention was completed by a selective neck dissection.High clinical suspicion should be present while dealing with this rare entity, as well as not underestimating the poor outcomes associated with it.