Pathologic Quiz Case 1
John P. Hakim, David W. Eisele, MD, Baltimore, MdA 49-year-old white woman presented with an asymptomatic mass in the right side of her neck. She had no significant medical history and denied weight loss, cough, hoarseness, and dysphagia. Physical examination revealed a 1.5-cm mobile mass just superior to the upper pole of the right thyroid lobe. Laryngeal function and the findings of the remainder of the head and neck examination were normal. A fine-needle aspiration biopsy produced atypical cells. Neck ultrasound showed a solid mass in the right side of the neck, lateral to the thyroid gland, between the common carotid artery and the jugular vein. (Fig 1 [J indicates jugular vein; C, carotid artery; and Tr, trachea. The arrows delineate the mass.]) The mass was below the carotid bifurcation and compressed the jugular vein.Neck exploration revealed a smooth ovoid mass measuring 1.5 cm
RESIDENT'S PAGE: PATHOLOGY. Arch Otolaryngol Head Neck Surg. 1993;119(4):466–469. doi:10.1001/archotol.1993.01880160114019
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