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. 2012 Jul;5(3):219-21.
doi: 10.4103/0974-2077.101401.

Rare Case of Giant Plunging Ranula without Intraoral Component Presenting as a Subcutaneous Swelling in the Neck: A Diagnostic Dilemma

Affiliations

Rare Case of Giant Plunging Ranula without Intraoral Component Presenting as a Subcutaneous Swelling in the Neck: A Diagnostic Dilemma

Harveen K Gulati et al. J Cutan Aesthet Surg. 2012 Jul.
No abstract available

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Figures

Figure 1
Figure 1
(a) Photomicrograph showing an irregular subcutaneous swelling in the left submandibular region measuring 6 × 5 × 3 cm with ill-defined margins. (b) Overlying skin was normal in color and temperature; however, a scar of previous surgical intervention was noted over the swelling. (c) Intraoperative photograph of the patient showing swelling with well-defined margins and extending inferiorly into the mid-cervical region, laterally up to angle of mandible and superiorly into the floor of mouth.
Figure 2
Figure 2
(A) Contrast enhanced STIR and T-2 weighted MRI axial image showing a hyperintense enhancing cystic lesion in the submandibular region in the subcutaneous plane measuring 4.8 × 3.9 × 3.7 cm. (B) Post-contrast T1W axial image showing hypointense swelling with peripheral rim enhancement suggesting inflammation. (C) Contrast-enhanced STIR and T2-weighted MRI coronal image showing a hyperintense enhancing cystic lesion in the submandibular region. (D) Post-contrast T1W coronal image showing hypointense swelling with peripheral rim enhancement.
Figure 3
Figure 3
(A) Photomicrograph showing a low power view of the cyst wall lined by granulation tissue and filled with mucin (Hand E 100×). (B) Higher power of the cyst wall highlighting the absence of lining epithelium and the presence of muciphages (Hand E 400×).

References

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