Neck masses
| Neck masses | |
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| Neck mass. Hodgkin lymphoma. Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology |
Template:Search infobox Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
A neck mass is an ambiguous mass found in the neck area. There are many different possible causes,[1] including congenital conditions like branchial anomalies and thyroglossal duct cysts.[2]
Differential Diagnosis
In alphabetical order. [3] [4]
- Abscess
- Acute lymphadenitis
- Adenoma
- Angioma
- Atypical mycobacterium
- Branchial cleft cyst
- Carcinoma
- Carotid body tumor
- Cat-scratch disease
- Cystic hygroma
- Hemangioma
- HIV
- Hyperplasia
- Laryngeal tumor
- Laryngocele
- Lymphoma
- Metastasis
- Mononucleosis
- Neurofibroma
- Parathyroid tumor
- Salivary gland tumor
- Sarcoidosis
- Sarcoma
- Schwannoma
- Skin cancer
- Soft tissue tumor
- Thyroglossal duct cyst
- Thyroid cancer
- Thyroiditis
- Thyrotoxicosis
- Tuberculosis scrofula
- Upper aerodigestive tract tumor
History and Symptoms
- Recent growth
- Age
- Radiation exposure
- Localized symptoms
- Social history
- Family history
Physical Examination
- Evaluate for size, location, color, symmetry, tenderness, consistency
Laboratory Findings
- Complete blood count (CBC)
- Blood urea nitrogen (BUN)/creatinine
- Thyroid stimulating hormone (TSH)
- Parathyroid hormone
- Erythrocyte sedimentation rate (ESR)
- Calcium
- Phosphorus
- Monospot test
- Free T4
- Chemistries
Chest X Ray
- Chest X-ray
MRI and CT
- CT scan
- MRI
Other Imaging Findings
- Angiography
- Barium swallow
- Radioactive iodine uptake scan
Other Diagnostic Studies
- Open biopsy
- Fine needle aspiration
Treatment
Acute Pharmacotherapies
- Antibiotics
- Antithyroid medications
- Chemotherapy
- Radiation
- Immunotherapy
Surgery and Device Based Therapy
- Thyroid ablation
- Incision and ablation
- Excisional biopsy
- Parotidectomy
- Neck dissection
- Parathyroidectomy
- Subtotal or total thyroidectomy
- Thyroid lobectomy
References
- ↑ "Neck Mass: Approach to the Patient With Nasal and Pharyngeal Symptoms: Merck Manual Professional".
- ↑ Schwetschenau E, Kelley DJ (2002). "The adult neck mass". Am Fam Physician. 66 (5): 831–8. PMID 12322776. Unknown parameter
|month=ignored (help) - ↑ Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
- ↑ Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X