A rare condition in the differential diagnosis of hard, fixed neck masses: Elongated transverse process of atlas
Mehmet Turgay Türkmen 1 * , Sedat Alpaslan Tuncel, Mustafa Kemal Adalı
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1 Trakya university school of medicine, department of otorhinolaryngology, Edirne, Turkey
* Corresponding Author


Twenty eight years old female patient presents with 1cm in diameter, hard and painless swelling in the left side of the neck. On physical examination; 1cm in size, rigid, painless and fixed mass was detected in the left retromandibular area. Cervical computerized tomography (CT) scan was performed. The elongation of left transverse process of atlas giving misleadingly the impression of a neck mass was observed in CT scan. In the literature, the elongation of transverse process of the seventh cervical vertebra is common but clinical conditions depending on the elongation of transverse process of atlas is very rare. Surgical intervention was not considered because the patient does not have any complaint other than palpable mass. As in this case, elongated transverse process vertebra (atlas) as a rare condition must be kept in mind in the differential diagnosis of rigid and fixed neck masses.


This is an open access article distributed under the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Brief Report


J Clin Exp Invest, 2015 - Volume 6 Issue 1, pp. 59-60

Publication date: 10 May 2015

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Article Downloads: 739

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