Left superficial neck abscess
Increase in size of left neck mass ?malignant ?related to carotid.
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Irregular, infiltrative mixed solid and fluid density mass centring at the left side of the neck, inseparable from the anterior portion of the sternocleidomastoid muscle. Left sided cervical lymphadenopathy. Asymmetric soft tissue prominence at the left half of the oral cavity, extending down to the left vallecula. Parapharyngeal fat planes are obliterated.
The differential diagnosis for this cause was between metastatic squamous cell cancer and an abscess. Multiple biopsies of the patient's oral cavity and this left neck mass revealed necrotic tissue only with no evidence of malignancy. A mixed skin flora (coagulase negative Staphylococci and alpha haemolytic streptococci) was isolated.