WSI22-147: Neck

From MGH Learn Pathology


Request type Study
Subspecialty Head and Neck
Set ENT Pathology
Topic Neck
Presenter Sadow, Peter M.,MD, PhD
Date and time Saturday, October 1, 2022 12:00 PM


Toggle columns: Diagnosis

Case Clinical history Requester Diagnosis
Case Clinical history Requester Diagnosis

Case 1


40 year old female with deep neck mass Si787 Nodular fasciitis

Case 2


60 year old female with left middle fossa CSF leak Si787 Meningoencephalocele

Case 3


63 year old male with left cervical neck mass Si787 Metastatic SCC cystic focally keratinizing HPV-related

Case 4


61 year old male with recent history of esophageal adenocarcinoma and a left cervical neck mass Si787 Metastatic nasopharyngeal carcinoma undifferentiated type. + p63 + MNF116 + CD99 +INI1 + EBERish + Keratin WS - HPVish

Case 5


41 year old presents 7 month prior with complaints of a sinus infection. Palpated supraclavicular node on physical exam that did not resolve after antibiotics Si787 Metastatic neuroendocrine carcinoma likely of GI origin

Case 6


6 month old female with head-turn asymmetry since birth diagnosed as congenital torticollis treated with physical therapy. Left neck mass with purplish change found to be widely infiltrative Si787 Infantile hemangioma

Case 7


44 year old male with right parapharyngeal space mass and lateral neck disease. Lateral neck sample Si787 Metastatic high grade salivary-type carcinoma compatible with metastasis from a salivary duct carcinoma ex-pleomorphic adenoma

Case 8


59 year old male with thyroid and neck mass Si787 Medullary thyroid carcinoma

Case 9


52 years old male with neck mass Tonsilectomy for metastic squamous cell carcinoma to the cervical lymph node Si787 Focal squamous dysplasia no invasive carcinoma

Case 10


44 year old male with right parapharyngeal space mass and lateral neck disease. Lateral neck sample Si787 Metastatic high grade salivary-type carcinoma compatible with metastasis from a salivary duct carcinoma ex-pleomorphic adenoma

Case 11


52 year old male Si787 Metastatic SCC

Case 12


25-year-old woman with a neck mass. Punch biopsy. Pms36 High-grade round and ovoid cell sarcoma most consistent with CIC-rearranged sarcoma.