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Disseminated cystic-appearing lesions in deep spaces of the neck

A 65-year-old woman presented with a 2-week history of worsening, painful, right-sided neck swelling with dysphagia, odynophagia, and fever. The neck swelling started with a small lump at the upper neck, which progressively increased in size. There were no symptoms of airway obstruction or aspiratio...

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Main Authors: Zainal Abidin, Muhammad Hosni, Mohamad, Adam, Rozhan, 'Atikah
Format: Article
Language:English
English
Published: American Medical Association (AMA) 2024
Subjects:
RF Otorhinolaryngology
Online Access:http://irep.iium.edu.my/117244/1/117244_Disseminated%20cystic-appearing%20lesions%20in%20deep%20spaces%20of%20the%20neck.pdf
http://irep.iium.edu.my/117244/7/117244_Disseminated%20cystic-appearing%20lesions%20in%20deep%20spaces%20of%20the%20neck_WoS.pdf
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spelling my.iium.irep.1172442024-12-27T03:45:57Z http://irep.iium.edu.my/117244/ Disseminated cystic-appearing lesions in deep spaces of the neck Zainal Abidin, Muhammad Hosni Mohamad, Adam Rozhan, 'Atikah RF Otorhinolaryngology A 65-year-old woman presented with a 2-week history of worsening, painful, right-sided neck swelling with dysphagia, odynophagia, and fever. The neck swelling started with a small lump at the upper neck, which progressively increased in size. There were no symptoms of airway obstruction or aspiration, and the patient denied any constitutional symptoms. She had no history of tuberculous contact, irradiation, preceding trauma, or alleged foreign body impaction in the throat. Examination of the neck showed multiple palpable firm to fluctuant areas of neck swelling over bilateral cervical nodal levels II, III, and V. There was also similar swelling located over the anterior neck, which was fixed and immobile. Flexible nasopharyngolaryngoscopy showed bulging of the right posterior pharyngeal wall at the level of nasopharynx and velopharynx, with pooling of saliva at the pyriform fossae and vallecullae. The vocal folds were normal and mobile. Contrast-enhanced computed tomography (CT) scan of the neck showed multiple peripherally enhancing, centrally hypoattenuating lymph nodes; an irregular thyroid mass; and a retropharyngeal fluid collection. American Medical Association (AMA) 2024-11-14 Article PeerReviewed application/pdf en http://irep.iium.edu.my/117244/1/117244_Disseminated%20cystic-appearing%20lesions%20in%20deep%20spaces%20of%20the%20neck.pdf application/pdf en http://irep.iium.edu.my/117244/7/117244_Disseminated%20cystic-appearing%20lesions%20in%20deep%20spaces%20of%20the%20neck_WoS.pdf Zainal Abidin, Muhammad Hosni and Mohamad, Adam and Rozhan, 'Atikah (2024) Disseminated cystic-appearing lesions in deep spaces of the neck. JAMA Otolaryngology–Head & Neck Surgery, 150. pp. 1123-1131. ISSN 2168-6181 E-ISSN 2168-619X https://jamanetwork.com/journals/jamaotolaryngology/article-abstract/2826356?utm_campaign=articlePDF&utm_medium=articlePDFlink&utm_source=articlePDF&utm_content=jamaoto.2024.3886 10.1001/jamaoto.2024.3886
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
English
topic RF Otorhinolaryngology
spellingShingle RF Otorhinolaryngology
Zainal Abidin, Muhammad Hosni
Mohamad, Adam
Rozhan, 'Atikah
Disseminated cystic-appearing lesions in deep spaces of the neck
description A 65-year-old woman presented with a 2-week history of worsening, painful, right-sided neck swelling with dysphagia, odynophagia, and fever. The neck swelling started with a small lump at the upper neck, which progressively increased in size. There were no symptoms of airway obstruction or aspiration, and the patient denied any constitutional symptoms. She had no history of tuberculous contact, irradiation, preceding trauma, or alleged foreign body impaction in the throat. Examination of the neck showed multiple palpable firm to fluctuant areas of neck swelling over bilateral cervical nodal levels II, III, and V. There was also similar swelling located over the anterior neck, which was fixed and immobile. Flexible nasopharyngolaryngoscopy showed bulging of the right posterior pharyngeal wall at the level of nasopharynx and velopharynx, with pooling of saliva at the pyriform fossae and vallecullae. The vocal folds were normal and mobile. Contrast-enhanced computed tomography (CT) scan of the neck showed multiple peripherally enhancing, centrally hypoattenuating lymph nodes; an irregular thyroid mass; and a retropharyngeal fluid collection.
format Article
author Zainal Abidin, Muhammad Hosni
Mohamad, Adam
Rozhan, 'Atikah
author_facet Zainal Abidin, Muhammad Hosni
Mohamad, Adam
Rozhan, 'Atikah
author_sort Zainal Abidin, Muhammad Hosni
title Disseminated cystic-appearing lesions in deep spaces of the neck
title_short Disseminated cystic-appearing lesions in deep spaces of the neck
title_full Disseminated cystic-appearing lesions in deep spaces of the neck
title_fullStr Disseminated cystic-appearing lesions in deep spaces of the neck
title_full_unstemmed Disseminated cystic-appearing lesions in deep spaces of the neck
title_sort disseminated cystic-appearing lesions in deep spaces of the neck
publisher American Medical Association (AMA)
publishDate 2024
url http://irep.iium.edu.my/117244/1/117244_Disseminated%20cystic-appearing%20lesions%20in%20deep%20spaces%20of%20the%20neck.pdf
http://irep.iium.edu.my/117244/7/117244_Disseminated%20cystic-appearing%20lesions%20in%20deep%20spaces%20of%20the%20neck_WoS.pdf
http://irep.iium.edu.my/117244/
https://jamanetwork.com/journals/jamaotolaryngology/article-abstract/2826356?utm_campaign=articlePDF&utm_medium=articlePDFlink&utm_source=articlePDF&utm_content=jamaoto.2024.3886
_version_ 1819909425806180352
score 13.244109

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