A vascular mass in the neck.

Accepted 4 March 1997 A 38-year-old man came to the ear, nose and throat clinic with a slow-growing left cervical mass. He had undergone laparotomy and excision of a functioning paraganglioma above the right adrenal gland when he was eight years old. At the age of 12, he underwent left adrenalectomy due to a functioning paraganglioma. When he was 25, he underwent a craniotomy because of a capillary haemangioblastoma of the cerebellum. On examination, a hard round pulsatile mass, 4 cm in diameter was detected in the region of the left carotid artery. Computed tomography (CT) of the neck revealed a highly vascular mass in the region of the left carotid artery bifurcation (figure). Angiography with embolization of the proximal artery supplying the mass was performed. The patient was then operated on under general anaesthesia, and the mass was removed. The postoperative period was uneventful.