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    SubjectsSurgeryNecrotic Cervical Lymph Node HPV-related Oropharyngeal Cancer
    ClinicalSurgery

    Necrotic Cervical Lymph Node HPV-related Oropharyngeal Cancer

    1 MCQs in Surgery for NEET PG

    1 Medium
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    Sample Questions

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    A 54-year-old non-smoker with a 3-month history of painless right-sided neck mass presents to the ENT clinic. Oropharyngoscopy reveals an ulcerative lesion at the right palatine tonsil with extension to the base of tongue. Contrast-enhanced CT of the neck shows an enlarged level IIA lymph node measuring 3.4 cm with the feature marked **B** (central low-attenuation necrosis) and a thin peripheral rim of enhancement. FNAC demonstrates squamous cell carcinoma with P16 immunohistochemistry strongly positive. Which of the following best explains the clinical significance of the imaging finding marked **B** in this patient?

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