Presentation
Swelling to the left side of the neck. Recent hoarse voice. Heavy smoker.
Patient Data
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
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Typical centrally necrotic lymph node on the left side of the neck, confirmed to be metastatic SCC on fine needle aspiration biopsy.
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Large malignant appearing mass in the left supraglottic region extending down to the left vocal cord. Palpable node seen on US is confirmed on CT to represent a a rim-enhancing mass consistent with an infiltrated lymph node.
Case Discussion
SCC lymph node metastases typically show central necrosis on ultrasound and CT. If seen in the neck then a head and neck primary malignancy should be suspected. Differential diagnosis is Mycobacterium infection.