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December 1988

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1988;114(12):1480-1483. doi:10.1001/archotol.1988.01860240130044

PATHOLOGIC QUIZ CASE 1  Peter D. Costantino, MD, Craig Friedman, MD, ChicagoA 62-year-old man presented with a large mass on the right side of his neck; the mass had slowly enlarged over the previous 15 months. The patient had a 50-pack-year history of smoking but no history of alcohol abuse. His only complaints were of slight dysphagia and mild pain in the right side of his neck. Physical examination revealed a soft 5 × 8-cm mass in the anterior triangle of the neck, deep to the sternocleidomastoid muscle. There was fixation of the mass to the deep neck tissues, but full mobility of the overlying skin. The trachea was not deviated and the thyroid gland was unremarkable to palpation. Results of the remainder of the head and neck examination were normal. Computed tomography of the neck was performed (Fig 1). The mass, delivered through the incision, is shown