Malignant Neck Masses

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