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July 1966

The Resident's Page

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Arch Otolaryngol. 1966;84(1):110-113. doi:10.1001/archotol.1966.00760030112012

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J. R. CHANDLER, MD, MIAMI, FLA  Over a period of two months a 63-year-old white man noticed a lump in the left side of his neck progress rapidly in size. Other symptoms such as hoarseness, dysphagia, or respiratory difficulty were absent. He had smoked one package of cigarettes daily for the previous 45 years. In the three weeks prior to being seen for the first time, he had noticed some slight tenderness over the lump.Examination revealed a mass in the left side of his neck at the angle of the mandible and near the mastoid process which was approximately 6×4 cm in diameter and seemed fixed to the underlying bony structures as well as to the overlying skin. No other masses were palpable. Nasopharyngeal findings were normal, but mirror examination of his larynx revealed slight redness of the right cord with some overlying grayish exudate.

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