Soft Tissue Tumors of the Neck Liebermans （颈部利伯曼的软组织肿瘤）.pdfVIP

Amanda A. Muñoz, HMS III Gillian Lieberman, MD CT Imaging for Soft Tissue Tumors of the Neck Amanda Muñoz, HMS III Gillian Lieberman, MD Amanda A. Muñoz, HMS III Gillian Lieberman, MD Overview • An introduction via the case of our patient CB • The Menu of Tests available to evaluate a neck mass • An overview of neck anatomy • The DDx of soft tissue masses in the neck • Radiographic characteristics of neck masses • Examples of various neck masses from different patients • Examination of CB’s scan • A word about CB’s findings 2 Amanda A. Muñoz, HMS III Gillian Lieberman, MD Beginning with “Our Patient” CB • 51yo M h/o HTN, chol p/w R tongue lesion 1/04 • Bx 2/04 c/w metastatic clear cell renal carcinoma • CT of neck, thorax, abdomen performed for staging – 12 x 10 cm R renal mass with R renal vein clot – 2 nodules in the L lingula – Enlarged lymph nodes: cervical, pretracheal, hilar, pericaval, periaortic, retrocaval, retroperiotneal – Assymmetry of the oropharynx and hypopharynx w/o definable mass • Normal liver, spleen, adrenals, pancreas • No bony lytic or sclerotic lesions • Brain MRI negative for any intracranial metastases 3 Courtesy Dr. David Hackney Amanda A. Muñoz, HMS III Gillian Lieberman, MD More about CB • R radical nephrectomy and lymphadenectomy 2/04 • pathology c/w clear cell carcinoma of the kidney • recovered well from surgery • presents to BIDMC 5/04 to explore treatment options • Denies recent F/C/NS, N/V/D, CP, SOB, flank pain, hema