The right jugulodigastric lymph node
was reactive but negative for malignant cells and the right thyroid lobe was compatible with Hashimoto's thyroiditis.
The MRI also identified an ipsilateral 1.3-cm jugulodigastric lymph node
. The otolaryngologist recommended a tonsillectomy, but the patient requested a second opinion and was referred to us.
The jugulodigastric lymph node
is located in the same area as a typical second branchial cleft cyst.
Enlargement of Jugulodigastric lymph nodes
was highest in both benign and malignant conditions with the percentage of 51.42% and 33.33% respectively as shown in table VI.
Examination revealed the presence of a large, smooth swelling in the left tonsil and jugulodigastric lymph nodes
A computed tomographic scan revealed a deviated nasal septum, bilateral enlarged jugulodigastric lymph nodes
, mild irregularity of the free margin of the right vocal cord, mucosal thickening in the subglottic larynx (Figure 1), and calcifications in the proximal trachea.
The most common group of lymph nodes affected in our study was that of the upper deep jugular and jugulodigastric lymph nodes
followed by posterior triangle group.
A superficial parotidectomy was performed along with removal of several adjacent superior jugulodigastric lymph nodes
. Histopathology of the parotid mass revealed that it was made up of a group of lymph nodes whose architecture was preserved; the mass contained a proliferation of histiocytes, hyperplastic follicles, enlarged germinal centers, and epithelioid cells with abundant, pale eosinophilic cytoplasm (figure 2).