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Angiomyomatous hamartoma in a submandibular lymph node: a case report
Geva Barzilai1, Yaakov Schindler, Raanan Cohen-Kerem
1Department of Otolaryngology-Head and Neck Surgery, Carmel Medical Center, Haifa, Israel. geva_b@hotmail.com
Ear, Nose, & Throat Journal
|March 18, 2009
Summary
Angiomyomatous hamartomas are rare in the head and neck. This case highlights a submandibular angiomyomatous hamartoma, emphasizing its inclusion in differential diagnoses for head and neck masses.
Area of Science:
- Head and Neck Pathology
- Surgical Oncology
- Diagnostic Imaging
Background:
- Angiomyomatous hamartomas (AH) are rare benign tumors typically found in inguinal and femoral lymph nodes.
- Published literature on AH in the head and neck region is scarce.
- This study focuses on a unique presentation of AH in the submandibular area.
Observation:
- A 51-year-old woman presented with a submandibular mass initially presumed to be an enlarged lymph node.
- The mass did not resolve with antibiotic treatment, prompting an excisional biopsy.
- Histopathological examination confirmed the diagnosis of angiomyomatous hamartoma.
Findings:
- The submandibular mass was definitively diagnosed as an angiomyomatous hamartoma via histopathology.
- Postoperative follow-up for over 3 years showed no recurrence.
- Imaging and physical examination confirmed the absence of residual or recurrent disease.
Implications:
- This case represents the first reported instance of angiomyomatous hamartoma in the submandibular region.
- Otolaryngologists should consider AH in the differential diagnosis of unexplained head and neck masses.
- Early and accurate diagnosis is crucial for appropriate management and to rule out other pathologies.
