A 45-Year-Old Man With Gradual Neck Swelling

Jitendra Gohil, MD; Pramod Gupta, MD

Disclosures

November 30, 2016

Editor's Note:
The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, please contact us.

Background

A 45-year-old man presents to his primary care physician with gradual swelling in his anterior neck over the past 6 months. At first, he thought nothing of the swelling, expecting it go away on its own; however, over the past 2 months, it has become more noticeable. The patient has become concerned that the swelling may be caused by cancer.

He has not experienced any pain in the area of the swelling, nor has he experienced fever. In addition, he denies any difficulty in swallowing and any alteration of his voice. He has no problems with his breathing.

The patient has no history of trauma, and he denies any significant personal medical history. His family history is unremarkable. He is not currently taking any medications, does not smoke, and does not use any illicit substances. He is a social drinker.

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