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Clinical Problem Solving
October 2014

Calcific Neck Mass in an Adolescent Girl

Author Affiliations
  • 1University of Rochester School of Medicine and Dentistry, Rochester, New York
  • 2Department of Otolaryngology–Head and Neck Surgery, University of Rochester, Rochester, New York
JAMA Otolaryngol Head Neck Surg. 2014;140(10):981-982. doi:10.1001/jamaoto.2014.1930

A healthy adolescent girl presented for evaluation of a lump in the right side of her neck. She reported that it had been slowly enlarging since she first noticed it 3 years previously. The mass was painless. She had not experienced dysphagia, voice changes, skin changes, or drainage. There was no history of trauma to this region. She had a remote history of adenotonsillectomy and currently used tobacco.

Examination of the neck revealed a 2-cm, hard, irregular, superficial, mobile mass located just lateral to midline and just deep to the skin without erythema or induration of the surrounding tissue. Deep palpation elicited tenderness, and overlying skin dimpling was noted. There was no lymphadenopathy or thyromegaly, and findings from the examination were otherwise unremarkable.

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