 PROBABLE LYMPHOMA |
| Contributed by:
Residents and Faculty Baptist Health System Birmingham Alabama, Radiologist, Baptist Health System Hospitals Birmingham, Alabama, USA. |
|
Patient: 63 year old female |
| History: History of non-Hodgkin's lymphoma |
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| Findings: C.T. contrast reveals a 1.5 cm low attenuation mass with peripheral enhancement in the right submandibular triangle, just anteroinferior to the submandibular gland. The margins of this mass are ill defined suggesting inflammatory change or infiltration of the surrounding fat. |
| Diagnosis: probable lymphoma |
| Discussion: Most suprahyoid lesions represent salivary gland or lymph node disease. Thyroglossal duct cysts or ectopic thyroid tissue make up the suprahyoid congenital lesions while branchial cleft cysts, cystic hygroma's and thyroglossal duct cysts are the most common infrahyoid congenital lesions. Thyroglossal duct cysts are generally midline located suprahyoid (20%), hyoid (15%) and infrahyoid (65%). Branchial cleft cysts arise most commonly from the second branchial apparatus. They may have a cutaneous fistulous tract; most often the opening to the skin located just anteriorly to the lower anterior border of the SCM muscle. Cystic hygromas are benign, nonencapsulated lesions arising from lymphoid tissue, presenting shortly after birth and located predominately in the posterior triangle of the neck, soft tissue inflammatory disease is not common today. Tuberculous adenitis (scrofula) represents a manifestation of systemic disease. Posterior triangle location predominates. Both Hodgkin's and non-Hodgkin's lymphoma occur in the head and neck with nodal involvement predominating. Extranodal involvement is rare. Lymphoma is the most common cause of a unilateral neck mass in patients 21-40 YO. |
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| Additional Details:
Case Number: 1529962 The reader is fully responsible for confirming the accuracy of this content. |