Lump on neck increasing in size

Abstract

A 58-year-old man presents with a right-sided neck mass that has been increasing in size over the past 3 months. He denies fever, chills, or recent weight loss. He also denies sore throat, difficulty swallowing, changes in his voice, or difficulty breathing. Past medical history is significant for hypertension and gastroesophageal reflux (GERD). Social history is significant for 20 pack-years of smoking. He averages two alcoholic drinks every day. Physical exam of the oral cavity/oropharynx including close visualization and palpation of the tongue, base of tongue, tonsil, and floor of mouth for masses or firmness reveals no obvious lesions that are suspicious for malignancy. Examination of the neck reveals a 2x3-cm firm right-sided neck mass that is poorly mobile, non-erythematous, and not tender to palpation.