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A 9 year old boy presents to the clinic with a neck mass. It was noticed by a parent 4 days ago and remarked it has markedly grown in size.

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

Past Medical History: The child was born at 36 weeks.

Family History: positive for breast cancer in the mother and grandmother.

On examination the child appears unwell. There is a unilateral 3 cm mass located in the left anterior cervical chain. The mass is hot, tender, soft and mobile. The overlying skin is normal. 

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