A Pedunculated Cervical Mass: A Case Report

Introduction:A congenital cervical mass is a considerable health problem worldwide; however, accessory tragus (AT) in the neck is extremely rare. The cervical variant of AT or congenital cartilaginous rest of the neck (CCRN) is a rare anomaly related to the branchial arch located at the lateral of t...

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Main Authors: Mohammad Afzalzadeh, Amir Sadri, Masoumeh Hosseinpoor, Mohammad Karimpour Malekshah
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2022-03-01
Series:Iranian Journal of Otorhinolaryngology
Subjects:
Online Access:https://ijorl.mums.ac.ir/article_19563_a5fae5123bd7d2b9ba52540c5d67bd85.pdf
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author Mohammad Afzalzadeh
Amir Sadri
Masoumeh Hosseinpoor
Mohammad Karimpour Malekshah
author_facet Mohammad Afzalzadeh
Amir Sadri
Masoumeh Hosseinpoor
Mohammad Karimpour Malekshah
author_sort Mohammad Afzalzadeh
collection DOAJ
description Introduction:A congenital cervical mass is a considerable health problem worldwide; however, accessory tragus (AT) in the neck is extremely rare. The cervical variant of AT or congenital cartilaginous rest of the neck (CCRN) is a rare anomaly related to the branchial arch located at the lateral of the neck that typically presents as an asymptomatic papule or nodule along the anterior border of sternocleidomastoid (SCM) muscle. It is detected since birth or in the first few years of life. Diagnosis is based on the clinical characteristics of the lesion, surgical findings, and histopathologic studies. Case Report:A young man with no underlying diseases or known congenital anomaly was referred by a dermatologist for an asymptomatic pedunculated papule in the left mid-cervical area. Physical examination reveals a firm and mobile papule with a size of 1*1 cm on the anterior middle 1/3 border of the SCM. Radiologic findings illustrated a mass nearby the SCM with a long tract beneath it extending upward. The lesion was finally resected, and during surgery, a long tract was discovered, and histopathologic examination confirmed the diagnosis of a CCRN. Conclusions:Although rare, the cervical variant of AT or CCRN should be considered in a differential diagnosis of benign masses in the neck.
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spelling doaj.art-4e13577e9a1c46dbb0c9f1107868c3b12022-12-21T18:42:22ZengMashhad University of Medical SciencesIranian Journal of Otorhinolaryngology2251-72512251-726X2022-03-0134212112510.22038/ijorl.2022.59029.303719563A Pedunculated Cervical Mass: A Case ReportMohammad Afzalzadeh0Amir Sadri1Masoumeh Hosseinpoor2Mohammad Karimpour Malekshah3Sinus and Surgical Endoscopic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.Department of Otorhinolaryngology, Head and Neck surgery, Mashhad University of Medical Sciences, Mashhad, Iran.Department of Otorhinolaryngology, Head and Neck surgery, Mashhad University of Medical Sciences, Mashhad, Iran.Department of Otorhinolaryngology, Head and Neck surgery, Mashhad University of Medical Sciences, Mashhad, Iran.Introduction:A congenital cervical mass is a considerable health problem worldwide; however, accessory tragus (AT) in the neck is extremely rare. The cervical variant of AT or congenital cartilaginous rest of the neck (CCRN) is a rare anomaly related to the branchial arch located at the lateral of the neck that typically presents as an asymptomatic papule or nodule along the anterior border of sternocleidomastoid (SCM) muscle. It is detected since birth or in the first few years of life. Diagnosis is based on the clinical characteristics of the lesion, surgical findings, and histopathologic studies. Case Report:A young man with no underlying diseases or known congenital anomaly was referred by a dermatologist for an asymptomatic pedunculated papule in the left mid-cervical area. Physical examination reveals a firm and mobile papule with a size of 1*1 cm on the anterior middle 1/3 border of the SCM. Radiologic findings illustrated a mass nearby the SCM with a long tract beneath it extending upward. The lesion was finally resected, and during surgery, a long tract was discovered, and histopathologic examination confirmed the diagnosis of a CCRN. Conclusions:Although rare, the cervical variant of AT or CCRN should be considered in a differential diagnosis of benign masses in the neck.https://ijorl.mums.ac.ir/article_19563_a5fae5123bd7d2b9ba52540c5d67bd85.pdfaccessory tragusbranchial archcongenital cartilaginous rest of the necksternocleidomastoid
spellingShingle Mohammad Afzalzadeh
Amir Sadri
Masoumeh Hosseinpoor
Mohammad Karimpour Malekshah
A Pedunculated Cervical Mass: A Case Report
Iranian Journal of Otorhinolaryngology
accessory tragus
branchial arch
congenital cartilaginous rest of the neck
sternocleidomastoid
title A Pedunculated Cervical Mass: A Case Report
title_full A Pedunculated Cervical Mass: A Case Report
title_fullStr A Pedunculated Cervical Mass: A Case Report
title_full_unstemmed A Pedunculated Cervical Mass: A Case Report
title_short A Pedunculated Cervical Mass: A Case Report
title_sort pedunculated cervical mass a case report
topic accessory tragus
branchial arch
congenital cartilaginous rest of the neck
sternocleidomastoid
url https://ijorl.mums.ac.ir/article_19563_a5fae5123bd7d2b9ba52540c5d67bd85.pdf
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AT mohammadkarimpourmalekshah apedunculatedcervicalmassacasereport
AT mohammadafzalzadeh pedunculatedcervicalmassacasereport
AT amirsadri pedunculatedcervicalmassacasereport
AT masoumehhosseinpoor pedunculatedcervicalmassacasereport
AT mohammadkarimpourmalekshah pedunculatedcervicalmassacasereport