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.
Typical centrally necrotic lymph node on the left side of the neck, confirmed to be metastatic SCC on fine needle aspiration biopsy.
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.
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