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Gautam J. K. Tawari, MBBS; Sanjiv Kumar, FRCS(ENT); Arcot Maheshwar, FRCS(ENT)
Colchester General Hospital, Colchester, England

Arch Otolaryngol Head Neck Surg. 2008;134(2):211.

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

A 64-year-old white man presented with a 3-week history of a painless progressive neck swelling in the left side of his neck and a 2- to 3-month history of an intermittent sore throat and a chronic, dry, tickly cough. He had no history of recent upper respiratory tract infection, dysphagia, odynophagia, weight loss, otalgia, or hoarseness. He denied any epistaxis, night sweats, or breathing difficulties.

Physical examination revealed a left-sided diffuse, firm to hard, nontender neck swelling, measuring 4x3 cm in diameter, deep to the upper one-third of the sternocleidomastoid muscle. The swelling was fixed, with no signs of local inflammation. There were no palpable neck nodes. Examination of the oral cavity, oropharynx, nasopharynx, and laryngopharynx showed no abnormalities. There was no generalized lymphadenopathy, and the findings of the general physical and systemic examinations were normal.

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