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Image of the Month—Quiz Case

Image of the Month—Quiz Case A 30-year-old woman presented to our clinic with a painless, left-sided neck mass, which had slowly grown during 3 years. The patient denied any antecedent trauma, infection, or previous swelling in the area. She also denied any dyspnea, dysphagia, or left upper extremity weakness or paresthesia. Her medical history was significant for sickle cell trait, and she was a nonsmoker. On physical examination, she had a left supraclavicular mass that was soft, smooth, and fluctuant. A complete blood count showed she was anemic (hematocrit of 29), but had no symptoms of fatigue. An ultrasound of the neck showed a lobulated, multiseptated, thin-walled cystic mass in the left supraclavicular fossa measuring 8.2 cm in diameter. No wall thickening or mural nodules were seen. A computed tomographic scan of the neck with intravenous contrast was performed to further characterize the lesion (Figure 1). The cyst was fully excised in the operating room (Figure 2), and pathology confirmed the diagnosis. View LargeDownload Figure 1. Computed tomographic imaging axial (A) and coronal (B) views of the cervical lesion. View LargeDownload Figure 2. Excised lesion. What Is the Diagnosis? A.  Lymphangioma B.  Branchial cleft cyst C.  Lymphoma D.  Dermoid cyst Answer http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Image of the Month—Quiz Case

Archives of Surgery , Volume 147 (5) – May 1, 2012

Image of the Month—Quiz Case

Abstract

A 30-year-old woman presented to our clinic with a painless, left-sided neck mass, which had slowly grown during 3 years. The patient denied any antecedent trauma, infection, or previous swelling in the area. She also denied any dyspnea, dysphagia, or left upper extremity weakness or paresthesia. Her medical history was significant for sickle cell trait, and she was a nonsmoker. On physical examination, she had a left supraclavicular mass that was soft, smooth, and fluctuant. A complete blood...
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Publisher
American Medical Association
Copyright
Copyright © 2012 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.2011.948a
Publisher site
See Article on Publisher Site

Abstract

A 30-year-old woman presented to our clinic with a painless, left-sided neck mass, which had slowly grown during 3 years. The patient denied any antecedent trauma, infection, or previous swelling in the area. She also denied any dyspnea, dysphagia, or left upper extremity weakness or paresthesia. Her medical history was significant for sickle cell trait, and she was a nonsmoker. On physical examination, she had a left supraclavicular mass that was soft, smooth, and fluctuant. A complete blood count showed she was anemic (hematocrit of 29), but had no symptoms of fatigue. An ultrasound of the neck showed a lobulated, multiseptated, thin-walled cystic mass in the left supraclavicular fossa measuring 8.2 cm in diameter. No wall thickening or mural nodules were seen. A computed tomographic scan of the neck with intravenous contrast was performed to further characterize the lesion (Figure 1). The cyst was fully excised in the operating room (Figure 2), and pathology confirmed the diagnosis. View LargeDownload Figure 1. Computed tomographic imaging axial (A) and coronal (B) views of the cervical lesion. View LargeDownload Figure 2. Excised lesion. What Is the Diagnosis? A.  Lymphangioma B.  Branchial cleft cyst C.  Lymphoma D.  Dermoid cyst Answer

Journal

Archives of SurgeryAmerican Medical Association

Published: May 1, 2012

Keywords: anemia,neck,edema,dyspnea,physical examination,deglutition disorders,fatigue,branchioma,cysts,dermoid cyst,lymphangioma,lymphoma,operating room,paresthesia,sickle cell trait,wounds and injuries,infections,diagnostic imaging,hematocrit,medical history,neck mass,complete blood count,cervical lesions,cystic mass,neck ultrasound,upper extremity paresis

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