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Clinical details : 51yrs/ Male presented with:  Left sided neck swelling since 3 months and difficulty in swallowing since 10 days

O/E:  Left level II cervical lymph node enlarged  Measuring 2.5 x 2.5 cms, Hard and restricted  Left Hypoglossal paresis.  Left tonsil is free but parapharyngeal buldge submucosally.

PET-CT: Large right renal mass 9x8 cm. Left sided neck mass, ? metastatic
Biopsy from renal mass done and reported as oncocytoma.

USG neck
: large non vascular soft lesion on left side of neck, FNAC done.


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Please choose the correct answer/s from the following -*
  Differential Diagnosis
1

Diffuse large B cell lymphoma

2

Mucosal malignant melanoma

3

Undifferentiated Carcinoma – Nasopharyngeal type

4

Sinonasal undifferentiated carcinoma

                                                                                  

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