Abstract
A case of a gigantic sialolith in the submandibular gland is reported. The patient was a 59-year-old woman. X-ray and CT examination showed a large radiopaque mass in the submandibular region. The submandibular gland was almost occupied by the sialolith. The submandibular gland was removed under general anesthesia, and a mass was found in the submandibular gland. The sialolith was 42mm in diameter and weighed 14g. The pathological diagnosis was a sialolith. The large size of the stone precluded diagnosis. CT and Tc scintigraphic examinations had an important part in the clinical diagnosis of this case.