A Case of Lymphomatoid Granulomatosis Presenting as a Cervical Mass

An 89-year-old man presented with the chief complaint of a sore throat and a mass in the right side of his neck that tended to increase in size. He displayed the right Horner's sign, and imaging findings showed a 65-mm mass in the right side of the neck, invading the carotid artery. There were...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 14; no. 3; p. e23534
Main Authors Yoshida, Masafumi, Mori, Ayumi, Kanemoto, Kai, Shoji, Shizuka, Furukawa, Asayo
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 27.03.2022
Cureus
Subjects
Biopsy
Blood vessels
Cancer therapies
Carotid arteries
Case reports
Cellular biology
Chemotherapy
Disease
Epstein-Barr virus
Magnetic resonance imaging
Medical diagnosis
Medical prognosis
Metastasis
Nervous system
Otolaryngology
Palliative care
Tomography
Tumors
Veins & arteries
differential diagnosis
incisional biopsy
lymphomatoid granulomatosis
cervical mass
horner's sign
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Summary:An 89-year-old man presented with the chief complaint of a sore throat and a mass in the right side of his neck that tended to increase in size. He displayed the right Horner's sign, and imaging findings showed a 65-mm mass in the right side of the neck, invading the carotid artery. There were no other obvious lesions. The differential diagnosis was carcinoma of an unknown primary or neurogenic tumor. An incisional biopsy was performed, and the pathological diagnosis was lymphomatoid granulomatosis. The patient was started on oral prednisolone, but the disease progressed, and his general condition worsened. Therefore, supportive care was provided. This was a very rare case of a cervical lesion of lymphomatoid granulomatosis.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.23534