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  • Title: [A submandibular swelling: the salivary gland?].
    Author: Strabbing EM, de Visscher JG, van der Waal I.
    Journal: Ned Tijdschr Geneeskd; 2004 Dec 18; 148(51):2525-9. PubMed ID: 15636472.
    Abstract:
    Four patients, three men aged 32, 51 and 74 years, respectively, and a woman aged 34 years, presented with a submandibular swelling. In all four patients, the swelling was caused by submandibular salivary-gland disease. The first patient appeared to have chronic sialoadenitis due to sialolithiasis, in the second patient the diagnosis was sialoadenosis due to anorexia-boulimia, the third patient had a pleomorphic adenoma and the fourth had a malignant neoplasm of the floor of the mouth causing obstruction of the submandibular gland. A submandibular swelling may have many different causes. It is sometimes difficult to differentiate between enlargement of the submandibular gland and an enlarged lymph node. Intra-oral inspection and palpation may give valuable information about the origin of some submandibular swellings. Using a combination of history, examination and, when necessary, fine-needle aspiration and röntgenological examination, the diagnosis of submandibular lumps is usually straightforward.
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