Left superficial neck abscess

Case contributed by Dr Henry Knipe

Presentation

Increase in size of left neck mass ?malignant ?related to carotid.

Patient Data

Age: 69
Gender: Male
CT

Irregular, infiltrative mixed solid and fluid density mass centring at the left side of the neck, inseparable from the anterior portion of the sternocleidomastoid muscle. Left sided cervical lymphadenopathy. Asymmetric soft tissue prominence at the left half of the oral cavity, extending down to the left vallecula. Parapharyngeal fat planes are obliterated. 

Case Discussion

The differential diagnosis for this cause was between metastatic squamous cell cancer and an abscess. Multiple biopsies of the patient's oral cavity and this left neck mass revealed necrotic tissue only with no evidence of malignancy. A mixed skin flora (coagulase negative Staphylococci and alpha haemolytic streptococci) was isolated. 

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Case information

rID: 26263
Case created: 9th Dec 2013
Last edited: 31st Dec 2016
System: Head & Neck
Inclusion in quiz mode: Included

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