From: Surgeon-performed ultrasound-guided head and neck procedures during COVID-19 pandemic
Sex/age | Pathology | Site of mass | Number of masses | Size of lesion | Procedure | Related factors | Follow-up outcome |
---|---|---|---|---|---|---|---|
F/21 | Neck abscess | Submental | – | 4 cm × 3 cm | Aspiration | Healthy | Resolved after 2 weeks with oral cefuroxime without open drainage |
M/56 | Pharyngocutaneous fistula post total laryngectomy | Left stoma | – | 2 cm × 1 cm | Botox injection bilateral submandibular gland | Laryngeal carcinoma recurrence post radiation | Resolved 1 week later with intravenous tazocin |
M/81 | Pharyngocutaneous fistula post total laryngectomy | Upper stoma | – | 3 cm × 3 cm | Botox injection bilateral submandibular gland | • Laryngeal carcinoma recurrence post radiation • Active actinomycosis infection • Concurrent rectal adenocarcinoma ongoing chemotherapy | Fistula persists |
F/66 | Delayed chyle leak post open nodal excision for non-Hodgkin lymphoma | Left supraclavicular and level IV | – | 4 cm × 5 cm | Aspiration and pigtail insertion | Healthy | Resolved after 5 days with subcutaneous octreotide and diet modification |
M/40 | Left parapharyngeal abscess | Right upper jugular |  | 4 cm × 4 cm | Aspiration | Diabetes mellitus | Resolved 2 weeks later with intravenous augmentin without open drainage |
M/66 | Metastatic node with lung carcinoma | Right supraclavicular | 1 | 2 cm × 3 cm | Core needle biopsy | Newly diagnosed right lung adenocarcinoma | Node disappeared after 2 cycles of palliative chemo at second month |
F/36 | Parapharyngeal pleomorphic adenoma | Right parapharyngeal and parotid space | 1 | 4 cm × 3 cm | Core needle biopsy | Healthy | Post excision final histopathological result is consistent, asymptomatic at third month follow-up |
M/32 | Cervical sarcoidosis | Right lateral jugular chain and posterior traingle | 6 | 3 cm × 4 cm (largest) | Core needle biopsy | Healthy | Needed follow-up open excision to conclude the diagnosis as the core needle showed granulomatous lesion |
F/71 | Recurrent diffuse large B cell lymphoma | Submental | 1 | 3 cm × 2 cm | Core needle biopsy | • Severe COVID infection 1 month ago • Known lymphoma in remission | Node reduced in size after chemotherapy at 1 month follow-up |
M/21 | Tuberculous lymphadenitis | Right level II | 2 | 2 cm × 2 cm | Core needle biopsy | Healthy | Node disappeared after intensive phase of anti-tuberculous drugs |