Mrs X was aware that having Sjögren’s Syndrome increased her risk of developing lymphoma; a cancer of lymphoid tissue. Although only a small proportion of people with Sjögren’s Syndrome develop lymphoma Mrs X knew to seek early professional advice when she developed a persistent swelling in the neck near the angle of the lower jaw bone. She returned to the specialist Oral Medicine clinic ahead of her next planned appointment. Investigations confirmed a lymphoma associated with the left parotid salivary gland. Mrs X was promptly referred to the multi-disciplinary lymphoma team.