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Case No. 636
2022-10-01~2022-10-31
출제자 : 조세진
Hit : 355
| Period | 2022-10-01~2022-10-31 |
|---|---|
| Diagnosis | Enlarged superior cervical sympathetic ganglion |
| Gender |
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| Age | 60 |
| Clinical information | 60/ M 임상정보 #1. Hypopharyngeal ca, SqCC, H/O smoking (17.5PY) s/p Wide excision, Rt. neck and LND, Rt. neck with Reconstruction with free ALT flap s/p Postop CCRT 63 Gy/30 fx (12/22/'21 - 2/4/'22) 화살표가 가리키는 것은? |
| Discussion | Enlarged superior cervical sympathetic ganglion (SCSG) can mimics a metastatic retropharyngeal lymph node after radiation therapy in the patients with head and neck squamous cell carcinoma (HNSCC). It is normal structure that - mostly located medial to the internal carotid artery (ICA), lateral to the longus capitis muscle - between the C2 and C4 vertebrae. - characteristically homogeneous with high signal intensity on T2WI DDx. Metastatic LN - Intraganglionic hypointensity - homogeneous enhancement pattern - well-defined margins Ref) EJR. 98 (2018) 126–129 |
| Correct answer |
Correct Answer
Semi-Correct Answer |