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Fig. 4 | The Egyptian Journal of Otolaryngology

Fig. 4

From: Imaging of metastatic cervical nodes: is CT helpful in differentiation of squamous cell carcinoma (SCC) from non-SCC groups?

Fig. 4

A case of 63-year-woman of prior old (10 years ago) of operated thyroid cancer with multiple questionable cervical nodal swellings. (a) Shows clear thyroidectomy bed. (a and b) Shows grouped bilateral markedly necrotic nodes with smooth regular iso to mild hyper-enhancing smooth and thin margin, at levels II mainly with grouping and near conglomeration. A right-sided retropharyngeal node is seen (c). Features are in favor of being squamous cell carcinoma metastatic nodes over the non-squamous cell cancer nodes, putting down the possibility of thyroid recurrence. (d) Shows the primary oropharyngeal primary squamous cell carcinoma proved later. The signs helped to differentiate a new squamous cell carcinoma metastatic node and not a non-squamous cell “thyroid” metastatic node regarding the history of operated thyroid cancer

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