Bilateral cervical masses: Wolf in sheep's clothing

A 45-year-old woman presented with bilateral, painless slowly-progressing cervical lumps for the past eight years. She never had a chronic cough, weight loss, or trauma. Her appetite and bowel habits were satisfactory throughout this period. Her pitch and caliber of voice were normal, without any dy...

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Bibliographic Details
Published in:Oman medical journal 2021-11, Vol.36 (6), p.1-3
Main Authors: Yadav, Sudeep Pradeep, Jategaonkar, Priyadarshan Anand
Format: Article
Language:English
Subjects:
Angiography
Care
Clinical Quiz
computed tomography
Diagnosis
Magnetic resonance
mass
neck
Neck pain
Patients
Physical therapy
Tuberculosis
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Summary:A 45-year-old woman presented with bilateral, painless slowly-progressing cervical lumps for the past eight years. She never had a chronic cough, weight loss, or trauma. Her appetite and bowel habits were satisfactory throughout this period. Her pitch and caliber of voice were normal, without any dysphagia, loss of taste, or earache. Her family history was insignificant. General physical and systemic examinations were normal. Local examination revealed 3 × 2 cm and 3.5 × 3 cm globular firm rubbery non-tender cervical masses located anterior to the sternocleidomastoid muscles just below the angles of mandibles on the right and left sides, respectively [Figure 1]. They were wellmobile horizontally, but had restricted mobility in the vertical direction, non-compressible, pulsatile on deep palpation, and did not move with deglutition. No other lumps were felt in any triangles of the neck. Her ear, nose, throat, and indirect laryngoscopic examinations did not reveal any abnormality. Her bimanual oral examination was normal.
ISSN:1999-768X
2070-5204
DOI:10.5001/omj.2021.74