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Clinical Problem Solving
March 2014

Pediatric Neck Mass

Author Affiliations
  • 1Naval Medical Center San Diego, San Diego, California
JAMA Otolaryngol Head Neck Surg. 2014;140(3):273-274. doi:10.1001/jamaoto.2013.6196

A previously healthy boy presented to the pediatric otolaryngology clinic with a recurrent cervical neck mass. The patient initially presented at age 13 months with a 2-month history of asymptomatic, right-sided neck swelling. Contrast-enhanced neck computed tomography (CT) with contrast at presentation demonstrated a low-attenuation, multilobulated mass measuring 5.3 cm (craniocaudad) × 4.2 cm (coronal) × 2.8 cm (anteroposterior) extending from C2 to C5 with anterolateral displacement of the right common carotid artery and internal jugular vein (Figure, A). He subsequently underwent an uncomplicated primary excisional biopsy.