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Head and Neck Imaging
submandibular space, pathology
The differential diagnosis of a submandibular mass
lesion
is essentially
lymphadenopathy head and neck
,
sialadenitis
, or a primary submandibular gland
neoplasm
(see
submandibular gland, pathology
).
CT
or
MRI
are able in most cases to differentiate between a submandibular gland mass and an extrinsic mass. A mass intrinsic to the submandibular gland may be
malignant
, and the radiological study should include the
cervical
lymph
nodes. Adenopathies may be caused by
inflammation
, but may also be due to
lymphoma
or metastatic
squamous cell carcinoma, head and neck
. Also, see
level system of lymph node classification
.
RH