DIAGNOSTIC EVALUATION OF THE NECK

Modern imaging for neck node metastases has increased our ability to p redict the presence of palpably occult metastases and predict the rese ctability of large metastases. The accuracy of CT scans, MR imaging, b ut especially US-FNAC, has increased to such an extent that clinical c onsequences are being attached to negative radiologic findings in a cl inically N-0 neck. As not all palpably occult metastases can be detect ed, especially when they are micrometers, follow-up should be strict, with use of US-FNAC in the neck observed instead of treated electively .