Metastatic squamous cell carcinoma to neck lymph node

Case contributed by Dr Chris O'Donnell

Presentation

Swelling to the left side of the neck. Recent hoarse voice. Heavy smoker.

Patient Data

Age: 50
Gender: Male
Modality: Ultrasound

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

CT for further assessment

Modality: CT

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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Case Information

rID: 34942
Case created: 15th Mar 2015
Last edited: 21st Nov 2015
System: Head & Neck
Inclusion in quiz mode: Included

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