A mass in the neck frequently signifies the presence of carcinoma of the nasopharynx. The nasopharynx should be carefully examined, not only by means of the mirror but also by digital palpation and biopsy when a neck mass is suspected of being a metastatic malignancy.
It is better to completely excise a small neck mass for diagnosis rather than perform a needle biopsy unless the mass is so large that its complete resection is improbable. There is always some danger of not getting representative tissue in the needle biopsy and thereby arriving at an incorrect diagnosis. If the primary carcinoma is discovered in the nasopharynx, irradiation of the primary and metastatic area in the neck would be the treatment of choice.
Report of Case
A 60-year-old white man was first examined in my office on Jan. 9, 1956. His only complaint was a stuffiness in both sides of his nose