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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\udintervention was not considered because the patient does\udnot have any complaint other than palpable mass. As in\udthis case, elongated transverse process vertebra (atlas)\udas a rare condition must be kept in mind in the differential\uddiagnosis of rigid and fixed neck masses. J Clin Exp Invest 2015; 6 (1): 59-60

A rare condition in the differential diagnosis of hard, fixed neck masses: Elongated transverse process of atlas