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Characterisation neck lymph nodes

Fine Needle Aspiration Cytology (FNAC)

Summary Ultrasound

Superficial technique

Primary evaluation of neck swelling

H&N ca.: lymph node staging

Disadvantages:

No evaluation of primary tumor

Operator dependent

Advantages:

FNAC

Objectives

Ultrasound

Panoramic dental X-ray

CT

MRI

Daily practice: Panoramic X-ray

Male, 28 years

Swelling left upper jaw since > 1 year

CT

Diagnosis??

Soft tissue window

Bone window

Radiological diagnosis

Mucocele

Expanded (part of) paranasal sinus

Cystic lesion due to chronic obstruction of the

ostium

Expansion / remodelling of bone

Slow development of complaints

Needs surgical therapy