Abstract
A 20-year-old woman who was in excellent health visited the Division of Oral and Maxillofacial Surgery, Columbia University College of Dental Medicine, New York City, with a concern regarding a large painless swelling in the right submandibular region (Figure 1). The swelling had appeared suddenly five weeks previously. Since then, a slight increase in size had occurred, but the size increase was not related to eating. The clinicians performed extraoral palpation, which revealed in the right submandibular-submental area a soft, painless, nonmobile, fluid-containing mass measuring approximately 7 × 4 centimeters and having ill-defined borders.
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