Metastatic squamous cell carcinoma to neck lymph node

Case contributed by Dr Chris O'Donnell


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.

PlayAdd to Share

Case Information

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

Updating… Please wait.

Alert accept

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

Alert accept Thank you for updating your details.