Left Posterior Neck Mass
Lidia Manouilova, MD
Presentation Date: May 2011; Expires: May 2014
A 16 year-old man presented with a history of a painless mass of the left neck which appeared about six months prior. The patient noted minor weight loss, but did not have any fever or night sweats. Fine needle aspiration done at an outside institution showed atypical cells. The patient was referred to Roswell Park Cancer Institute for further evaluation and treatment. Physical examination was unremarkable except for a 4 cm firm, non-mobile mass on the left posterior neck. The patient underwent an ultrasound-guided needle biopsy of this mass. Accompanying Diff-Quik and Papanicolaou stained smears were also done. The patient then underwent an MRI of the head and neck area which revealed a left nasopharyngeal mass extending into the left oropharynx.