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How likely is an intracyst hemorrhage from a FNA?
The patient is SCCHN (p16+) with a resolved primary (left vallecula) and shrinking nodes elsewhere in the neck, but the node that was originally used to diagnose the SCC was via FNA 6 months ago. There were 5 pokes during that FNA. The first 3 couldn't get enough fluid and the next 2 were tried by another, successfully.
Since then FNA the node has continued to grow ever larger (from 2.2cm to 7+cm). Most recent PET/CT (and PET/MR) shows only mild avidity on the periphery, but there is an internal fluid level consistent
with intracyst hemorrhage. It's not clear if this growth is due to continued infection in the neck or the hemorrhage or a combination of the two.
The patient is SCCHN (p16+) with a resolved primary (left vallecula) and shrinking nodes elsewhere in the neck, but the node that was originally used to diagnose the SCC was via FNA 6 months ago. There were 5 pokes during that FNA. The first 3 couldn't get enough fluid and the next 2 were tried by another, successfully.
Since then FNA the node has continued to grow ever larger (from 2.2cm to 7+cm). Most recent PET/CT (and PET/MR) shows only mild avidity on the periphery, but there is an internal fluid level consistent
with intracyst hemorrhage. It's not clear if this growth is due to continued infection in the neck or the hemorrhage or a combination of the two.