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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Hyperechoic Lesion Areas Of Necrosis In Neck

my father aged 75yrs old a small node his left side of neck....he go to scanned......in scan report told well defined heteroechoic lesion areas of necrosis noted in the left side of neck measuring 3.9 *3.2cm with diffuse surrounding inflammatory fat stranding noted. The lesion shows increased peripheral vascularity. intra luminal echogenic thrombus noted in the left internal jugular vein measuring 2.3*1 cm pls u r advice to further treatment.
Thu, 4 Dec 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In old age any neck node with size of 4×3cm, should be investigated for malignancy.
Possibility of metastatic node in his case is more, due to following things.
1. Age more than 60 years.
2. Size of the node is quite large.
3. Associated with heterogeneity and increase blood supply.
4. Associated with thrombus in jugular vein.
So better to get done biopsy from the node and get done histopathological examination.
If it turn out to be malignant to be malignantthan we need search for the primary site. Most common primary organs are
1. Lungs
2. Liver
3. Gastro intestinal tract
4. Lymphomas etc.
So get done biopsy of the node first.
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Suggest Treatment For Hyperechoic Lesion Areas Of Necrosis In Neck

Thanks for your question on HCM. In old age any neck node with size of 4×3cm, should be investigated for malignancy. Possibility of metastatic node in his case is more, due to following things. 1. Age more than 60 years. 2. Size of the node is quite large. 3. Associated with heterogeneity and increase blood supply. 4. Associated with thrombus in jugular vein. So better to get done biopsy from the node and get done histopathological examination. If it turn out to be malignant to be malignantthan we need search for the primary site. Most common primary organs are 1. Lungs 2. Liver 3. Gastro intestinal tract 4. Lymphomas etc. So get done biopsy of the node first.