Presentation
Enlarging right neck mass - FNA consistent with SCC
Patient Data
Age: 70 years
Gender: Male
From the case:
Perineural invasion of SCC along great auricular nerve
Loading images...
CT Axial C+ dual phase
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.
From the case:
Perineural invasion of SCC along great auricular nerve
Loading images...
Axial StarVIbe + C
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"