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August 1994


Arch Otolaryngol Head Neck Surg. 1994;120(8):888-892. doi:10.1001/archotol.1994.01880320088023

Pathologic Quiz Case 1  Louis D. Lowry, MD; I. David Bough, MD; John E. Butler, MD, Philadelphia, PaAn 87-Year-Old white man presented to our office with a 2-year history of an enlarging right neck mass that caused pain and discomfort. The patient denied any other head and neck symptoms. He did not smoke or abuse alcohol. His medical history was only significant for previous excisions of a right neck mass that had been performed in 1930, 1950, 1986, and 1988.Physical examination revealed a fungating 9×9-cm mass in the right side of his neck. The mass, which was tender to palpation, extended from just below the external auditory canal to 2 cm above the clavicle, anteriorly to the anterior border of the sternocleidomastoid muscle, and posteriorly to the trapezius muscle (Figure 1). His head and neck examination showed no other lesions or lymphadenopathy. Cranial nerves II through XII

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