Q:

A patient presented with history of swelling in the sub-mandibular region, which became more prominent and painful on chewing. He also gave history of sour taste in the mouth, the area is tender on palpation. Choose the most probable diagnosis?

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A patient presented with history of swelling in the sub-mandibular region, which became more prominent and painful on chewing. He also gave history of sour taste in the mouth, the area is tender on palpation. Choose the most probable diagnosis?


  1. Chronic recurrent sialadenitis
  2. Adenolymphoma
  3. Mikulicz’s disease
  4. Adenoid cystic carcinoma
  5. Sub-mandibular abscess

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The key is A. Chronic recurrent sialadenitis. [pain, swelling, more pain on chewing, tenderness, and swelling of submandibular region suggests diagnosis of submandibular chronic recurrent sialadenitis, usually secondary to sialolithiasis or stricture].

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