A 38-YEAR-OLD African American woman presented with a 10-year history of slowly enlarging, painless masses in the right side of her neck. Her medical history was significant for removal of a mass from the right side of her neck 20 years earlier at another hospital. Attempts to obtain the pathology report and/or slides were unsuccessful. The patient denied a history of head and neck trauma, infectious disease, autoimmune processes, endocrine disorders, or pulmonary and renal disease. A review of systems was negative for weight loss, joint pain, myalgias, rashes, and shortness of breath.