The Importance of a Good Differential Diagnosis of a Neck Mass. Neck Mass by Migration of a Toothpick from Mandubular Cortex

Objective: This study gives details of a rare case of cervical mass. We want to emphasize the importance of a good differential diagnosis in a cervical mass in an adult patient. Method: This study presents a case report and review of the literature. Results: We report the case of a 57-year-old male with a cervical mass of months of evolution, suspicious malignancy that after a difficult diagnostic process, turned out to be a reaction to a foreign body (toothpick) that had migrated and fistulized from the mandibular cortex to the skin of the neck. Conclusion: This study presents a rare case of cervical mass and the difficulty sometimes involved in its management. After reviewing the medical literature, we have not found any similar cases described.