Perineural invasion of SCC along great auricular nerve

Case contributed by Charles Beames
Diagnosis certain

Presentation

Enlarging right neck mass - FNA consistent with SCC

Patient Data

Age: 70 years
Gender: Male
This study is a stack
CT Axial C+
dual phase
This study is a stack
PET FDG
Axial Fused
This study is a stack
CT Sagittal
C+ dual phase
This study is a stack
PET FDG
Sagittal Fused
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Info

FDG avid right cystic lesion involving right parotid and sternocleidomastoid with avid tail tapering inferiomedially, consistent with malignant spread of tumor along great auricular nerve.

This study is a stack
Axial
StarVIbe + C
This study is a stack
Coronal T1
C+ fat sat
This study is a stack
Sagittal 3D
T1 Vibe + C
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Info

Thickening and enhancement of right great auricular nerve consistent with perineural spread of tumor.

Case Discussion

Histopathology at resection "Right parotid: Metastatic squamous cell carcinoma, perineural and intraneural invasion along great auricular nerve" 

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