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Case Reports
. 2017 Aug 30:2017:bcr2017221326.
doi: 10.1136/bcr-2017-221326.

Osteoma of the hyoid: an unusual cause of a neck lump

Nicola Rachel Wooles  1   2 , Saba Jarrar  2 , Richard Bickerton  2
Affiliations
Case Reports

Osteoma of the hyoid: an unusual cause of a neck lump

Nicola Rachel Wooles et al. BMJ Case Rep. .

Abstract

A 65-year-old man with a 2-month history of left-sided neck swelling presented through the cancer pathway. There was no associated 'red flag' symptoms, and clinical examination revealed a left anterior triangle, non-pulsatile firm swelling atypical of a lymph node. Ultrasound scan imaging confirmed a complex structure with an echogenic centre and hypoechoic periphery, which was confirmed on CT as an osteoma of the hyoid.This is an extremely unusual cause of a neck lump, and an extensive literature review revealed only two previously documented cases.

Keywords: ear, nose and throat/otolaryngology; head and neck cancer; otolaryngology/ent.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Axial cross-sectional CT of the neck taken at the level of the hyoid. There is an inferior broad-based bony outgrowth of the hyoid bone measuring 6.47 mm at the level of the lesser cornu, composed of dense cortical bone representing an osteoma.
See this image and copyright information in PMC

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