Carotid body tumor with lung metastases

Case contributed by Dr Hani Salam

Presentation

Enlarging left neck mass

Patient Data

Age: 40 years
Gender: Female

CT through the neck demonstrates a large mass on the left splaying the ICA and ECA. It demonstrates homogenous enhancement consistent with a carotid body tumor. 

MRI through the neck demonstrates a large mass on the left splaying the ICA and ECA. It is of high T2 signal with numerous punctate and serpiginous regions of low signal due to flow voids (so called salt and pepper sign).

The post contrast T1 fat suppressed images demonstrate vivid enhancement again with flow voids.

Multiple lung nodules suspicious for metastases. For CT chest.

Multiple pulmonary nodules suspicious for metastases.

Case Discussion

Features are consistent with a carotid body tumor, in this case metastasizing to the lungs.

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Case information

rID: 9301
Published: 1st Apr 2010
Last edited: 5th Jun 2019
Inclusion in quiz mode: Included

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