Final answer:
The intermittent painless swelling of the left parotid gland in a patient with Sjogren's syndrome could potentially be associated with B-cell lymphoma. However, a thorough evaluation by a healthcare professional is necessary to determine if there is a link.
Step-by-step explanation:
The intermittent painless swelling of the left parotid gland in a patient with Sjogren's syndrome could potentially be indicative of a risk factor or association with B-cell lymphoma. In some cases, persistent swelling of the parotid gland can be a symptom of lymphoma. Lymphoma is a type of cancer that affects the lymphatic system, and it can cause enlargement of lymph nodes and other symptoms like fatigue and weight loss.
However, it is important to note that this is not a definitive diagnosis. In order to determine if there is a link between the swelling and lymphoma, a thorough evaluation by a healthcare professional is necessary. This may include imaging tests, blood tests, and possibly a biopsy of the parotid gland or lymph nodes.