No Fever in Surgery — 7yo Child | Pediatric Surgery | SMLE Q#779
SMLE Question #779
Surgery
Pediatric Surgery
Last updated: February 2026
A 7-year-old boy is brought to clinic for a 6-month history of a painless anterior midline neck swelling. It has been stable in size with no fever, dysphagia, or recent upper respiratory symptoms. Examination shows a well-circumscribed, non-tender, cystic midline neck mass just below the hyoid bone that elevates with swallowing and with tongue protrusion. There is no overlying erythema or drainage, and the thyroid gland is palpable in its normal position. What is the most likely diagnosis and definitive treatment?
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