These images show asymmetric enlargement of the right palatine tonsil abutting the posterior aspect of the soft palate and right aspect of the uvula which may be secondarily involved by the mass. There are centrally necrotic right neck level IB and IIA enlarged lymph nodes compatible with metastasis as seen in HPV-related squamous cell carcinoma. The palatine tonsil is the most common subsite of oropharyngeal squamous cell carcinoma. 75% have adenopathy at presentation as seen in this case. HPV cancers are generally seen in younger patients and have a more favorable prognosis.
Cancer Radiology Collection
68hrs 53mins - Image Study By Graeme Moyle
There's something about this rash
In this image challenge, Dr Graeme Moyle discusses a HIV-positive woman who presents with with itchy blotches on the back of both her hands. The patient history, differential diagnoses and final diagnosis are reviewed.
56hrs 40mins - Image Study By Graeme Moyle
Dr Graeme Moyle presents an image challenge of a HIV-positive man who presents with with sores and blisters. He has a fever and his sexual health test returns negative. Dr Moyle explores the differential diagnoses and describes the most appropriate diagnostic tests.
71hrs 6mins - Image Study By Graeme Moyle
Avoiding a howler
Dr Graeme Moyle presents an image challenge of a 38-year-old man who develops an erosive rash after a holiday. Dr Moyle explores the differential diagnoses and investigative tests performed.