Sonographic differential diagnosis of a male with painful left submandibullar swelling

Expert Solution

Submandibular swelling may be caused due to some kind of lump cyst or any kind of infection. Submandibular lymphadenopathy also results from the infection of teeth or upper respiratory tract. One of the most common causes of swollen salivary glands is formed of crystallized saliva deposits that generally block the flow of saliva. To reduce the submandibular swelling one can rinse the mouth with the warm water to ease the pain and keep the mouth always moist. To manage the swelling one should stop smoking and drink a lot of water. One can also use the sugar-free lemon to stop to enhance the flow of saliva and decrease the swelling.
Submandibular swelling at the left side of the male is caused due to lump or any kind of infection. The lumps are observed in the submandibular area which is generally not usual. This swelling may be caused due to some kind of mumps, cyst, or infection. This also may lead to affect the infection of teeth and the upper respiratory tract. The neoplastic growth in the submandibular area may include the case of tumors in the submandibular gland which is also related to the parotid gland. This leads to the cause of asymmetric submandibular enlargement which is commonly observed in the people who are more than 40 years old and causes any kind of metastatic disease.
The sonographic appearance of the submandibular gland in the male represents the initial sign of immunoglobulin related disease which is an autoimmune disease. The bilateral submandibular gland of the male patient can be observed in the enlarge form with a smooth contour. The internal texture of echo also indicates the multiple hypoechoic and heterogeneous background which is a net-like appearance. Histopathologic examination represents lymphoplasmacytic cells and lymph follicle that are encircled by fibrous bands. The sonographic findings of the submandibular gland also suggest the characteristics of immunoglobulins related disease which is helpful in the differential diagnosis of initial manifestation.

Sydney Mullin answered 1 year ago

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