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Because of the clinical presentation of submandibular and mediastinal lymph node enlargement, this patient was thought to have lymphoma on radiologic examination.

Edema, halitosis and drooling may be present, and tender submandibular or cervical lymphadenopathy is not uncommon.

There was no significant skin erythema or any apparent cervical or submandibular lymphadenopathy.

For example, cancers of the oral cavity typically metastasize to the submandibular triangle, whereas cancers from most other sites in the head and neck spread to the lateral neck.

But I have used a technique where the submental and submandibular areas are liposuctioned.