Neck mass

From greek.doctor
  • Children
    • 90% of neck masses in children are benign/inflammatory/congenital
    • Most common cancer – lymphoma
  • Adults
    • 80% of neck masses in adults are neoplastic
    • Most common cancer – SCC
  • DD neck mass
    • Congenital
      • Branchial cleft cyst
      • Thyroglossal duct cyst
    • Inflammatory (lymphadenopathy)
      • Reactive viral lymphadenopathy
        • Mononucleosis
      • Bacterial lymphadenopathy
    • Neoplastic
      • Metastasis from aerodigestive tract
      • Tumor of tonsils, tongue base, thyroid, submandibular, paraganglioma
  • Diagnosis
    • CT with contrast
    • FNAB – best diagnostic test for neck mass without known origin
  • Metastases
    • Origin
      • Upper GI tract
      • Upper respiratory tract
      • Skin
      • Salivary glands
      • Thyroid
    • Clinical features
      • Dysphagia
      • Dysphonia
      • Recurrent laryngeal n. paralysis
      • Pain


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