45 year male with Parotid swelling.

  This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s signed informed consent. Here we discuss our individual patient’s problems through a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with collective current best evidence-based inputs.



A 45-y male patient, a farmer by occupation came with c/o  painless swelling on the right side of his face since 5 months.


The patient was apparently alright 18 months back, then he noticed a Swelling on the right side of his face, initially small in size later increased in size for which the patient had sought consultation and underwent superficial parotidectomy on 13/11/2022 and was diagnosed to be having Right Pleomorphic Adenoma, then pt c/o gradual increase in the size of the right parotid gland 
And c/o painful oral ulcer at right retromolar trigone area since 4 months.

Not a known case of  DM, HTN, BA, EPILEPSY, TB, CAD or CVA.


Personal history-
Appetite -normal
Diet-mixed
B&B -regular
Addictions- pan daily twice, since 7 years.

Image showing Right Parotid Swelling, at the time of presentation to our OP.




Oral hygiene and Ulcer at Right RMT.


ECG at the time of presentation:

Chest X-ray PA view:


Outside Investigations-

Plain + CE MRI OF NECK:

TRU-CUT Biopsy from Right Parotid Region

Incisional Biopsy from Right Parotid Gland






General examination -
Pt is conscious, coherent and cooperative 
Bp-120/80mmhg
PR-78 bpm
RR-18 cpm
Grbs-148 mg/dl
No pallor, icterus, cyanosis, clubbing, lymphadenopathy 

Systemic Examination-
CVS-S1, S2+, No murmurs 
RS-BAE+, NVBS, No added sounds
P/A-soft, non-tender
CNS-
HMF+
GCS-15/15
POWER
        RT        LT
UL- 5/5       5/5
LL- 5/5        5/5
Reflexes-
        Rt               Lt
B       ++               ++
T       ++                ++
S        ++               ++
K         ++                ++
A         ++                 ++
P    dorsiflexion


Diagnosis-RIGHT PLEOMORPHIC ADENOMA WITH RIGHT RMT ULCER



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