CASE 459 : CERVICAL LYMPH NODES, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Man 63 yo   detected  cervical  nodules  at right neck, that were in slow growth, no pain,  no fever,   no sore throat.

Clinical palpation this  lateral nodule of the neck  from SCM chain  continuous with subclavicular group

US scan  with 12 MHz probe= thyroid gland is normal

US1: many  small 1-2 cm hypoechoic nodes ,  round border.

US2:   big node =  round,  echo very poor ,  nonvascular inside.

US3:  small node = very high vascular supply.

US4  elastoscan = very soft structure

And  the left neck is normal.

MICROSCOPIC REPORT WITH IMMUNOHISTOCHEMISTRY IS   LYMPHOMA.