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Modified Radical Neck Dissection for Cervical Metastasis
Published on: February 20, 2026
Head and neck cancers masquerading as deep neck abscesses
Sue Rene Soon1, Jeevendra Kanagalingam, Shirish Johari
1Department of Otolaryngology, Changi General Hospital, Singapore. rene_soon@yahoo.com
Singapore Medical Journal
|December 27, 2012
Summary
Deep neck space abscesses can mimic head and neck cancers. This case series highlights the importance of considering malignancy in patients presenting with deep neck abscesses to ensure appropriate cancer treatment.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Head and Neck Surgery
Background:
- Deep neck space abscesses are common otolaryngological emergencies requiring prompt incision and drainage.
- Head and neck cancers can present with cervical metastases that may become secondarily infected, mimicking abscesses.
Observation:
- This case series describes six patients with an unusual presentation of head and neck malignancy.
- The clinical presentation in these cases was similar to a deep neck abscess.
- Three of the six patients underwent surgical drainage for their presumed abscesses.
Findings:
- All six patients were ultimately diagnosed with a head and neck malignancy.
- Surgical drainage of infected metastatic collections can have significant implications for subsequent cancer treatment.
Implications:
- Highlights an unusual presentation of head and neck carcinoma.
- Raises awareness to avoid potential pitfalls in managing deep neck abscesses.
- Emphasizes the need for thorough evaluation to differentiate abscess from infected malignancy.
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