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A 7 year old boy presents to the clinic with a neck mass. It was noticed by a parent 3 days ago and remarked it has increased in size.

The child has been afebrile. There have been no sick contacts. His immunizations are incomplete. The child has been growing well.

Past Medical History: The child has mild eczema.

Family History: unremarkable.

On examination the child appears unwell. There is a unilateral 4 cm mass located in the right anterior cervical chain. The mass is hot, painful, firm and fixed. The overlying skin is red. 

What is the most likely diagnosis?

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Authors

Dr. Susan Bannister

Susan.Bannister@ahs.ca

Anindita Bhattacharya

anindita.bhattachary@ucalgary.ca

Dr. Angela Punnett

angela.punnett@sickkids.ca

Dr. Erin Peebles

erin.peebles@lhsc.on.ca

Reviewer

Dr. Mumtaz Virjii

mvirji2@cw.bc.ca