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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

Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

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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