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Clinical Problem Solving
September 2014

A Bulky Mass in the Neck

Author Affiliations
  • 1Institute of Otorhinolaryngology, Audiology and Phoniatrics “Giorgio Ferreri,” Department of Sensory Organs, Faculty of Medicine, Sapienza University of Rome, Rome, Italy
JAMA Otolaryngol Head Neck Surg. 2014;140(9):879-880. doi:10.1001/jamaoto.2014.1760

A 25-year-old presented to our department with complaints about the appearance of a bulky right laterocervical mass that had gradually developed over 6 months. Clinical examination revealed that the mass measured 14 cm at its maximum diameter, extended from the submandibular to the clavicular region to reach the spine posteriorly, and caused a shift in the longitudinal axis of the neck toward the left side. The mass was adherent but exhibited a relatively soft texture. No pain or other symptoms were reported. The results of further examinations, including an intraoral examination and a fiber-optic endoscopy of the upper respiratory airways, were negative.

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