This document discusses a patient presenting with a slowly enlarging painless lump at the carotid bifurcation. On examination, a firm, rubbery, pulsatile mass was found that was mobile from side to side, and possibly with a bruit present. Differential diagnoses included a carotid body tumor, vagus schwannoma, vagus neurofibroma, or glomus vagule. Imaging such as a CT angiogram of the carotid artery or MRI was recommended to evaluate the mass without biopsy or FNAC due to risk of hemorrhage. Potential treatment options included surgery or radiotherapy.
5. History: long history of slowly
enlarging painless lump at carotid
bifurcation.
On examination: firm,rubbery,
pulsatile mass,mobile from side to
side
bruit may be present
