Since the swelling has recurred after previous surgery, this pattern is clinically important,some adenomas are well-known to present as multiple small nodules and may be firmer due to fibrosis from earlier surgery.
FNAC alone cannot confirm the exact subtype, but the smear does not show features of high-grade malignancy such as marked atypia, necrosis, or high mitotic activity.
However, because recurrent lesions can sometimes undergo changes or rarely show malignant transformation,
Next Steps
high-resolution imaging (ultrasound or MRI) followed by complete excision with clear margins under a head-and-neck surgeon to prevent further recurrence
Health Tips
FNAC findings are more suggestive of a recurrent benign salivary gland tumor, but proper clinical and radiologic correlation is important for final management.