Metastatic cervical lymphadenopathy

Case contributed by Dr Maulik S Patel

Presentation

Right lower neck swelling - few days. Referred for ultrasound.

Patient Data

Age: 45 - 50 yrs
Gender: Male
Ultrasound

Multiple nodes are noted in right level IV .Nodes are rounded, hypoechoic with loss of hilar fat. Central and capsular vasculariy is noted in all nodes. Morphologically similar nodes are noted in right level V and Left level IV. Rest of the neck examination was normal.

IMPRESSION :Bilateral level IV and RIght level V nodes -  possibility of malignent neoplatic nodes likely.

US of abdomen and scrotum

Ultrasound

Abdomen Ultrasound : Para-aortic, retrocaval, aorto-caval discrete hypoechoic nodes are noted.

Scrotal Ultrasound : No testicular mass or other abnormality is noted.

Case Discussion

CT was  next investigation with FNA. No abdominal mass noted.

FNA - Metastatic nodes.

Tumor markers : CEA – High.

                             CA – 19-9   – Normal.

Lymph node enlargement.


How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.