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A Subcutaneous Nodule on Neck in 13-year-old Girl
Chia-Mao Tsa, i Tsen-Fang Tsai, Yu-Fu Chen, Chih-Ming Hung
Dermatol Sinica 25 : 78-79, 2007

A 13-year-old girl presented with a subcutaneous nodule on left neck since she was a toddler. The girl is in good health. The skin lesion was asymptomatic for most of the time. The lesion may become tender, enlarged, or inflamed sometimes, especially when she caught a cold. Occasionally, it may develop abscesses with purulent draining. There was no history of similar lesions in her family members. On physical examination, the skin lesion was a smooth, nontender, skin-colored, subcutaneous, fluctuant mass which occurred along the lower one third of the anteromedial border of the sternocleidomastoid muscle between the muscle and the overlying skin. It measured about 1.5 cm in diameter. A pinpoint sized orifice-like lesion was found on the overlying skin (Fig 1). We referred the patient to head and neck plastic surgeon and excision of tumor was performed.

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