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.
Diffuse large B cell lymphoma
Mucosal malignant melanoma
Undifferentiated Carcinoma – Nasopharyngeal type
Sinonasal undifferentiated carcinoma