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Clinical Problem Solving: Pathology
November 2001

Pathology Quiz Case 1

Author Affiliations
 

FREDERIC B.ASKINMDWILLIAM H.WESTRAMD

Arch Otolaryngol Head Neck Surg. 2001;127(11):1390. doi:10.1001/archotol.127.11.1390

AN 8-YEAR-OLD BOY presented with a slow-growing neck mass immediately to the left of the thyroid gland. The mass, which had initially been noted 2 years before, was not associated with dysphagia, airway obstruction, or previous infection or trauma. The patient did not exhibit any symptoms of thyroid dysfunction, and the results of laboratory thyroid function tests were within the normal range. Examination of the neck showed a smooth, nontender, 4 × 6-cm mass medial to the lower aspect of the left sternocleidomastoid muscle (Figure 1). The mass partially transilluminated. The findings of the rest of the head and neck examination were unremarkable. A computed tomographic scan of the neck showed a cystic mass lateral to the cricoid cartilage, extending down past the level of the manubrium (Figure 2). The mass was in close proximity to the trachea and abutted the apex of the upper lobe of the left lung.

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