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.