Perineural invasion of SCC along great auricular nerve

Case contributed by Charles Beames

Presentation

Enlarging right neck mass - FNA consistent with SCC

Patient Data

Age: 70 years
Gender: Male

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.

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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