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Edward W. H. To, FRCS(Eng); Peter C. W. Pang, FRCS(Edin); Willis S. S. Tsang, FRCS(Edin)
Hong Kong

Arch Otolaryngol Head Neck Surg. 2000;126:1502-1506.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 25-YEAR-OLD WOMAN presented with a progressively enlarging mass in the left side of the supraclavicular fossa. There were no associated symptoms. A fixed, nontender, hard mass measuring 2 cm in diameter was found in the left supraclavicular region. The results of examination of the head and neck, chest, upper limbs, and abdomen were unremarkable. Chest x-ray films are shown in Figure 1 and Figure 2.

Figure 1.

Figure 2.

What is your diagnosis?

Diagnosis: Cervical rib

A hard mass in the supraclavicular region should be thoroughly investigated for malignant metastasis, especially in patients who are older than 40 years.¹ Careful examination of the head and neck region, thorax, and abdomen is mandatory. Lung cancer arising from the apex, or Pancoast tumor,² lymphoma, and tuberculosis should all be included in the differential diagnosis. However, a bony hard . . . [Full Text of this Article]