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The authors discuss a case of a previously healthy 33-year-old man who presented with a subacute neck mass, found to be a rare synovial cell sarcoma with mass effect on the carotid vessels. This report demonstrates the utility of point of care ultrasound and computed tomography (CT) in the workup of the patient’s neck mass. Additionally, we synthesize findings from previous studies that recommend approaching neck masses in adults with a high index of suspicion for malignancy.

More Than a Lymph Node in the Neck: A Rare Synovial Cell Sarcoma with Carotid Artery Mass Effect