Epidermoid carcinoma of the submandibular gland
A 65-year-old man with a history of alcoholism and smoking (60 pack-year), was admitted for exploration of a left submandibular tumefaction of one year’s duration. There were no similar cases in the family and no history of contact with tuberculosis. There was no history of surgical or radiological intervention in the submandibular region.
Physical examination revealed a 4 × 3-cm firm, painless tumor of submandibular region; it was fixed to superficial and deep planes. The patient had poor dentition. Laryngoscopic examination was normal. Ultrasound revealed the presence of a relatively well-demarcated submandibular tumor with a central necrotic area. The radiography of the chest was normal.
