Case 412

Medical history

Female, 58 years old, has abrupt paresthesia in the left upper limb, associated with ipsilateral cervical bulging with progressive growth for 2 years. Former smoker, abstained for 3 years, with no history of cervical trauma — perforating or blunt — or catheter puncture. Upon examination, an extensive cervical mass is detected on the left, pulsatile and painless on palpation.



Question:
From the clinical and radiological data presented, it is concluded that the patient has:

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