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Ear Nose Throat J. 2008 Dec;87(12):E1.

Venous malformation of the neck with giant phleboliths.

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  • 1Department of Radiology, Mallinkrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA.


We present a case involving a 76-year-old man with a massive right-sided vascular neck mass that had been present since birth. The mass had been stable throughout the patient's life, but recently a portion of it had become hard. Physical examination revealed a firm, palpable focus within the vascular lesion in the right side of the neck. Computed tomography revealed the presence of numerous hyperdense foci, many more than 2 cm in size, which were confirmed by fine-needle aspiration to be phleboliths. The patient was followed for 6 months to ensure that the vascular mass and phleboliths remained stable.

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