Painless Neck Mass: What’s the Cause?

A 60-year-old man presents with a firm, painless Neck Mass and unilateral tonsil enlargement. Explore the diagnosis for this common clinical scenario.

Tonsillar cancer


A 60-year-old man presented to the otolaryngology clinic with a 2-month history of a firm, painless mass on the right side of his neck. He had no history of smoking or heavy alcohol use and denied any changes in voice or difficulty swallowing. Physical examination showed unilateral enlargement of the right tonsil. What is the correct diagnosis?

What is the most likely diagnosis?

Peritonsillar abscess
Burkitt’s lymphoma
Tonsillar cancer
Mandibular osteoma
Benign tonsillar hypertrophy

Head and Neck Cancer, HPV, Neck Mass, Otolaryngology, Tonsillar cancer

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