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Clinical Problem Solving: Radiology
April 2008

Radiology Quiz Case 2

Author Affiliations
 

HUDGINSPATRICIA A.MD

Arch Otolaryngol Head Neck Surg. 2008;134(4):443. doi:10.1001/archotol.134.4.443

A 34-year-old man presented with carcinoma of the glottis, stage T4N1M0, and underwent a total laryngectomy with bilateral selective neck dissection. His postoperative recovery was uneventful, and he had resumed full oral intake by postoperative day 8. Six weeks after surgery, a painless swelling developed in the right submandibular region. Physical examination revealed a firm, nonpulsatile 3×2-cm mass with restricted mobility. The scar had healed well and the tracheal stoma site was healthy. The findings of the rest of the physical examination were normal.

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