Metastatic cervical lymphadenopathy: probable

Case contributed by Dr Maulik S Patel

Presentation

Right sided neck swelling noticed for last 2-3 weeks. Alcoholic.

Patient Data

Age: 45 years
Gender: Male
Modality: Ultrasound

There is a well-defined solid mass lesion in right anterior triangle above level of carotid bifurcation.

Cranially lesion abuts the parotid gland. Medially, it abuts the submandibular gland and external carotid artery. Internal carotid artery is posterior to lesion.

Lesion sIze: 52 x 32 x 24 mm.

Lesion is hypoechoic with few tiny echogenic foci: ? calcification. There are no cystic spaces within. Lesion shows vascularity.

Rest of the neck examination was normal.

Case Discussion

Findings favour metastatic cervical lymphadenopathy.

CT scan done later showed a growth at base of tongue.

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Case Information

rID: 37877
Case created: 24th Jun 2015
Last edited: 3rd Oct 2015
System: Head & Neck
Inclusion in quiz mode: Included

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