Malignant Neck Masses
by Leslie Brown
1. Malignant peripheral nerve sheath tumor
2. Fibrosarcoma
3. Liposarcoma
4. most common=cervical metastasis from a primary tumor of upper aero digestive tract
5. Malignant neoplasm of salivary, thyroid & parathyroid gland can present as cervical masses or w/metastasis to cerv. lymph nodes
6. Unknown primary SCC
6.1. 2-8% primary site not known w/ head & neck SCC
6.2. FNA is initial diagnosis
7. DIAGNOSTIC:
7.1. direct laryngoscopy w/ bisopsy
7.2. esophagoscopy
7.3. bronchoscopy
7.4. tonsillectomy
8. Lymphoma
9. Synovial sarcoma
10. Rhabdomyosarcoma
11. Primary site is not located in <10% if cases
12. Sarcomas rarely seen in head/neck
13. IMAGING: CT neck w/&w/o contrast & PET
14. TREATMENT:
14.1. dissection vs radiation