A 69-year-old woman with no relevant medical history was admitted to the emergency room (ER) with asthenia, anorexia, weight loss, periodic fever and night sweats. Upon physical examination, a palpable and painful rubbery cervical mass adherent to deep tissue that had been enlarging during the past 3 months was observed ( image 1 ). The laboratory workup showed mildly elevated inflammatory parameters (leucocytosis 14 000/μL with 78% neutrophils and C reactive protein (CRP) 17 mg/dL).
What would be the possible diagnosis? What management would you suggest? *This case is from docplexus editorial team for educative purpose only.