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The right parotid swelling with level-II, level-V lymph node enlargement
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SHORTS-10-056F1: The right parotid swelling with level-II, level-V lymph node enlargement

Mentions: A 32-year-old Indian man, a cobbler by trade, presented in May 2003 with a recurrent right parotid swelling which was gradual in onset but had started growing rapidly in the previous six months. There were no symptoms suggestive of facial nerve involvement. He had undergone superficial parotidectomy for pleomorphic adenoma of the right parotid four years previously. He also had a history of chronic generalized itching for the past 10 years for which he was on irregular medication in the form of antihistamines and steroids. Examination revealed a hard, fixed and non-tender, 6 × 6 cm, right parotid swelling with a well-healed scar of previous surgery (Figure 1). There were no features of inflammation or facial nerve involvement. There were two discrete, mobile, non-tender and firm level-II lymph nodes on the right side (Figure 1). He also had multiple, non-tender subcutaneous swellings all over the body including the chest, arms and neck (Figure 2).

Kimura's disease masquerading as parotid malignancy

Affiliation: Department of Surgery, Vardhman Mahavir Medical College , Safdarjang Hospital, New Delhi 110023 , India.

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