Hypothyroidism and painless facial swelling

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A case of chronic, recurrent and asymptomatic facial swelling in a young male is presented. Swelling extended from lower midface to upper lateral neck and right commissure to anterior massetric border. History, clinical signs and symptoms and examination pointed towards the benign nature of the swelling. Fine-needle aspiration cytology tapered the diagnostic possibilities to a salivary cyst or pseudocyst. Ultrasonography identified the lesion to contain echogenic fluid with irregular borders. Surgical excision of the lesion was done along with submandibular gland as both were in continuity via a bottle-neck tract.
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Thyroid disease: A checklist of skin, hair, and nail changes | American Academy of Dermatology

A goitre pronounced goy-ter, sometimes spelt as 'goiter' is an enlarged thyroid gland. This gives you a lump at the front of your neck. Some people with a goitre have an underactive or overactive thyroid gland. This means that they make too much or too little thyroid hormone.
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Back to Health A to Z. It causes either unusually high or low levels of thyroid hormones in the blood. The thyroid is a butterfly-shaped gland in the neck. It produces hormones that control the body's growth and metabolism. The swollen thyroid may also cause a goitre lump to form in your throat.
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Swelling is when areas of the body enlarge, often due to inflammation or fluid buildup. It can occur in the joints and extremities, as well as in other parts of the body, like the face. Swollen cheeks can make your face noticeably puffy or rounder. The swelling can develop without pain, or with symptoms like tenderness, itching, or tingling. It might feel as if you have mouth swelling inside the cheek.
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