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A 58-year-old man presents with a right-sided neck mass that has been increasing in size over the past 3 months. He denies fever, chills, or recent weight loss. He also denies sore throat, difficulty swallowing, changes in his voice, or difficulty breathing. Past medical history is significant for hypertension and gastroesophageal reflux disease. Social history is significant for 20 pack-years of smoking. He averages two alcoholic drinks every day. Physical exam of the oral cavity/oropharynx including close visualization of the tongue, tonsils, and floor of the mouth reveals no obvious lesions that are suspicious for malignancy. Examination of the neck reveals a 2 × 3-cm, firm, right-sided neck mass that is poorly mobile, nonerythematous, and not tender to palpation.

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Lump on the Neck Increasing in Size

  • 章节

  • 发表日期：

    2026年

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  • Jon Mallen-St. Clair,
  • Aaron J. Feinstein,
  • Vishad Nabili

摘要

A 58-year-old man presents with a right-sided neck mass that has been increasing in size over the past 3 months. He denies fever, chills, or recent weight loss. He also denies sore throat, difficulty swallowing, changes in his voice, or difficulty breathing. Past medical history is significant for hypertension and gastroesophageal reflux disease. Social history is significant for 20 pack-years of smoking. He averages two alcoholic drinks every day. Physical exam of the oral cavity/oropharynx including close visualization of the tongue, tonsils, and floor of the mouth reveals no obvious lesions that are suspicious for malignancy. Examination of the neck reveals a 2 × 3-cm, firm, right-sided neck mass that is poorly mobile, nonerythematous, and not tender to palpation.