Tongue base squamous cell carcinoma - T2 N2b M0

Case contributed by Dr Derek Smith

Presentation

Left sided neck swelling. Palpable mass ?flucuant -- ?collection

Patient Data

Age: 65 years
Gender: Female

Mixed cystic / solid right IIa and IIb nodes.

Right tongue base irregularity (although adjacent debris).

No other nodes or aerodigestive abnormality.

CT chest clear (not uploaded).

Narrowing your windowing can help to highlight enhancing tissue; in this case the primary lesion was already identified by endoscopy

Case Discussion

Squamous cell carcinomas which are p16 positive can present with cystic metastases. This was confirmed on subsequent US guided biopsy of one of the nodes.

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Case information

rID: 69176
Published: 1st Jul 2019
Last edited: 1st Jul 2019
Inclusion in quiz mode: Included

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