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Case 22 - Sarcoma in the Levator Scapuli

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We are continuing to evaluate patients

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who have neck masses without fever.

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This was a patient who noticed the progressive

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enlargement of a mass in the lower right neck.

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On the CT scan,

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you see this irregular mass that has sort of a

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speculated appearance to it with regard

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to the contrast enhancement.

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This is the sternocleidomastoid muscle.

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This is the posterior musculature.

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Got a little bit of the latissimus dorsi musculature.

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This is actually in the levator scapulae muscle,

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and this proved to be a sarcoma.

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So unusual diagnosis in the neck.

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However, if it's not a lymph node and

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it's infiltrating the muscle,

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one of the things to be considered is a sarcoma.

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You can get lymphomas that are also muscular in their

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etiology. Because of the absence of adjacent

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streaking in the fat or overlying cellulitis,

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the absence of that suggested that this

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is not an inflammatory process,

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but indeed was a sarcoma of the

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levator scapulae muscle.

Report

Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Tags

Neuroradiology

Head and Neck

Emergency

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