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February 9, 1970

Neck Masses and Skin Lesions in an Oriental

Author Affiliations

From the weekly X-ray Seminar, Department of Radiology, Massachusetts General Hospital, Boston.

JAMA. 1970;211(6):999-1001. doi:10.1001/jama.1970.03170060063012

Dr. Philip M. Hatfield: The patient is a 29-year-old Oriental man who complained of lumps on both sides of his neck. These were not painful and had been present for at least six weeks. He had difficulty swallowing and had lost an undetermined amount of weight. Multiple, nontender skin lesions had been present on the trunk for many months.

Physical examination disclosed large, nontender, fluctuant masses laterally on both sides of the patient's neck, extending to the angle of the mandible on the right. A similar mass was present over the anterior portion of the left side of the chest, and in his right buttock a small sinus tract was noted, from which drained a foul-smelling pus. Firm, 1.5-cm nodules were palpable in both testes. Both lateral lobes of his prostate were enlarged, hard, and nodular. The results of the remainder of physical examination were normal, without other adenopathy.