E. Nakayama et al., COMPUTED-TOMOGRAPHY APPEARANCE OF MARKED KERATINIZATION OF METASTATICCERVICAL LYMPH-NODES - A CASE-REPORT, Oral surgery, oral medicine, oral pathology, oral radiology and endodontics, 84(3), 1997, pp. 321-326
A case of squamous cell carcinoma of the tongue is reported with empha
sis on an atypical finding of cervical lymph node metastasis visible o
n computed tomography. Multiple cervical lymph nodes revealed a high c
omputed tomographic value of about 330 HU, lower than that of calcific
ation. The lymph nodes revealed well-defined elliptical hyperechoic ma
sses with an echogenic line and posterior shadow on ultrasonography. T
he appearance of a high density mass on computed tomography with a com
puted tomographic value lower than that of calcification may be a reli
able finding of metastasis because it demonstrates the presence of mar
ked keratinization produced by squamous cell carcinoma.