Neck mass - Revision history

Danbot: Add verified PubMed references (PMIDs 28891406, 34391536)

2026-03-22T10:53:54Z

Add verified PubMed references (PMIDs 28891406, 34391536)

← Older revision		Revision as of 10:53, 22 March 2026
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	[[File:EB1911 - Tongue.png\|thumb\|Neck anatomy at the level of the tongue.]]		[[File:EB1911 - Tongue.png\|thumb\|Neck anatomy at the level of the tongue.]]
	[[File:Human anatomy, including structure and development and practical considerations (1911) (14594049867).jpg\|thumb\|Midline neck anatomy on lateral view.]]		[[File:Human anatomy, including structure and development and practical considerations (1911) (14594049867).jpg\|thumb\|Midline neck anatomy on lateral view.]]
	*Common complaint seen in primary care medicine		*Common complaint seen in primary care medicine<ref>Pynnonen MA, et al. Clinical Practice Guideline: Evaluation of the Neck Mass in Adults. Otolaryngol Head Neck Surg. 2017 Sep;157(2_suppl):S1-S30. PMID 28891406</ref><ref>Chorath K, Rajasekaran K. Evaluation and Management of a Neck Mass. Med Clin North Am. 2021 Sep;105(5):827-837. PMID 34391536</ref>
	*Important to recognize acutely life threatening etiologies, treatable disease, and potential for malignancy		*Important to recognize acutely life threatening etiologies, treatable disease, and potential for malignancy

Danbot: Remove refs with incorrect PMIDs (verified against PubMed)

2026-03-22T10:25:14Z

Remove refs with incorrect PMIDs (verified against PubMed)

← Older revision		Revision as of 10:25, 22 March 2026
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	[[File:Human anatomy, including structure and development and practical considerations (1911) (14594049867).jpg\|thumb\|Midline neck anatomy on lateral view.]]		[[File:Human anatomy, including structure and development and practical considerations (1911) (14594049867).jpg\|thumb\|Midline neck anatomy on lateral view.]]
	*Common complaint seen in primary care medicine		*Common complaint seen in primary care medicine
	*Important to recognize acutely life threatening etiologies, treatable disease, and potential for malignancy~~<ref>Pynnonen MA, et al. Clinical practice guideline: evaluation of the neck mass in adults. Otolaryngol Head Neck Surg. 2017;157(2 Suppl):S1-S30. PMID 28727524</ref>~~		*Important to recognize acutely life threatening etiologies, treatable disease, and potential for malignancy

	==Clinical Features==		==Clinical Features==

Danbot: Add peer-reviewed references with PMIDs

2026-03-22T09:58:00Z

Add peer-reviewed references with PMIDs

← Older revision		Revision as of 09:58, 22 March 2026
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	[[File:Human anatomy, including structure and development and practical considerations (1911) (14594049867).jpg\|thumb\|Midline neck anatomy on lateral view.]]		[[File:Human anatomy, including structure and development and practical considerations (1911) (14594049867).jpg\|thumb\|Midline neck anatomy on lateral view.]]
	*Common complaint seen in primary care medicine		*Common complaint seen in primary care medicine
	*Important to recognize acutely life threatening etiologies, treatable disease, and potential for malignancy		*Important to recognize acutely life threatening etiologies, treatable disease, and potential for malignancy<ref>Pynnonen MA, et al. Clinical practice guideline: evaluation of the neck mass in adults. Otolaryngol Head Neck Surg. 2017;157(2 Suppl):S1-S30. PMID 28727524</ref>

	==Clinical Features==		==Clinical Features==

Rossdonaldson1 at 22:12, 13 November 2024

2024-11-13T22:12:58Z

← Older revision		Revision as of 22:12, 13 November 2024
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	==References==		==References==
	*<Haynes J, Arnold KR, Aguirre-Oskins C, and Chandra S. Evaluation of neck masses in adults. ''Am Fam Physician''. 2015 May 15;91(10):698-706./>		*Haynes J, Arnold KR, Aguirre-Oskins C, and Chandra S. Evaluation of neck masses in adults. ''Am Fam Physician''. 2015 May 15;91(10):698-706./
	*<Kentab OY, Qureshi N. Chapter 118. Neck Masses in Children. In: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e. New York, NY: McGraw-Hill; 2011. http://accessmedicine.mhmedical.com/content.aspx?bookid=348&Sectionid=40381590. Accessed August 11, 2016./>		*Kentab OY, Qureshi N. Chapter 118. Neck Masses in Children. In: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e. New York, NY: McGraw-Hill; 2011. http://accessmedicine.mhmedical.com/content.aspx?bookid=348&Sectionid=40381590. Accessed August 11, 2016./

	[[Category:ENT]]		[[Category:ENT]]
	[[Category:Symptoms]]		[[Category:Symptoms]]

Rossdonaldson1: /* Background */

2024-11-13T21:59:13Z

Background

← Older revision		Revision as of 21:59, 13 November 2024
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	==Background==		==Background==
			[[File:Gray1014.png\|thumb\|Anatomy of the posterior pharynx.]]
			[[File:Infrahyoid deep neck spaces.png\|thumb\|Infrahyoid deep neck spaces]]
			[[File:EB1911 - Tongue.png\|thumb\|Neck anatomy at the level of the tongue.]]
			[[File:Human anatomy, including structure and development and practical considerations (1911) (14594049867).jpg\|thumb\|Midline neck anatomy on lateral view.]]
	*Common complaint seen in primary care medicine		*Common complaint seen in primary care medicine
	*Important to recognize acutely life threatening etiologies, treatable disease, and potential for malignancy		*Important to recognize acutely life threatening etiologies, treatable disease, and potential for malignancy

	==Clinical Features==		==Clinical Features==

ClaireLewis at 21:24, 30 September 2019

2019-09-30T21:24:37Z

← Older revision		Revision as of 21:24, 30 September 2019
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	**Anterior and posterior cervical triangles divided by SCM		**Anterior and posterior cervical triangles divided by SCM
	*Associated symptoms based on etiology:		*Associated symptoms based on etiology:
	**Pain		**[[neck pain\|Pain]]
	**Skin changes		**Skin changes
	**[[Stridor]]		**[[Stridor]]
	**Hoarseness		**[[dysphonia\|Hoarseness]]
	**[[Fever]]		**[[Fever]]
	**[[URI]] symptoms		**[[URI]] symptoms
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	*Important to distinguish chronicity		*Important to distinguish chronicity

	~~==Differential Diagnosis==~~
	~~{{Neck mass DDX}}~~

	~~==Evaluation==~~
	*Assess for chronicity, associated symptoms, exposures (cats, undercook meat)		*Assess for chronicity, associated symptoms, exposures (cats, undercook meat)
	*Physical Examination		*Physical Examination
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	***Mobile, firm, and mildly tender		***Mobile, firm, and mildly tender
	***Clinical diagnosis		***Clinical diagnosis
	**Lymphadenitis/suppurative disease		**[[Lymphadenitis]]/suppurative disease
	***Painful, erythema, possibly fluctuant		***Painful, erythema, possibly fluctuant
	***Clinical diagnosis		***Clinical diagnosis
	***CT imaging if concerns for deep space infection: trismus, torticollis, stridor, drooling		***CT imaging if concerns for deep space infection: trismus, [[torticollis]], [[stridor]], drooling
	**Extrapulmonary form of ~~Mycobacterium~~ tuberculosis (cervical adenopathy)		**Extrapulmonary form of [[mycobacterium tuberculosis]] (cervical adenopathy)
	***Multiple bilateral lymph nodes		***Multiple bilateral lymph nodes
	***Fixed, firm, non-tender, located typically in posterior triangle		***Fixed, firm, non-tender, located typically in posterior triangle
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	***Soft, mobile, ballotable		***Soft, mobile, ballotable
	***Thyroglossal duct cyst: midline, adjacent to hyoid, rises with swallowing		***Thyroglossal duct cyst: midline, adjacent to hyoid, rises with swallowing
	***~~Brachial~~ cleft cyst: lateral, mandibular angle anterior to SCM		***[[Branchial cleft]] cyst: lateral, mandibular angle anterior to SCM
	***Dermoid cyst: submental triangle		***Dermoid cyst: submental triangle
	**Malignant lesions		**Malignant lesions
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	***Parotid gland- stensen duct		***Parotid gland- stensen duct
	***Submandibular gland- wharton duct		***Submandibular gland- wharton duct
	**CT or [[ultrasound]] only if diagnosis is unclear
			==Differential Diagnosis==
			{{Neck mass DDX}}

			==Evaluation==
			*CT or [[ultrasound]] only if diagnosis is unclear

	==Management==		==Management==
	*Reactive lymphadenopathy: see specific diagnosis		*Reactive [[lymphadenopathy]]: see specific diagnosis
	**Typically self resolving, supportive only except if related to bacterial disease		**Typically self resolving, supportive only except if related to bacterial disease
	*Lymphadenitis		*[[Lymphadenitis]]
	**Trial antibiotics with either first-generation cephalosporins, amoxicillin/clavulanate ([[Augmentin]]), or [[clindamycin]]		**Trial antibiotics with either first-generation [[cephalosporins]], amoxicillin/clavulanate ([[Augmentin]]), or [[clindamycin]]
	*Suppurative lymphadenitis/abscess		*Suppurative [[lymphadenitis]]/[[abscess]]
	**Head and neck consultation may be necessary for drainage		**Head and neck consultation may be necessary for drainage
	*[[Sialoadenitis]]		*[[Sialoadenitis]]

Rossdonaldson1: Text replacement - " US " to " ultrasound "

2016-11-13T21:27:04Z

Text replacement - " US " to " ultrasound "

← Older revision		Revision as of 21:27, 13 November 2016
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	***Parotid gland- stensen duct		***Parotid gland- stensen duct
	***Submandibular gland- wharton duct		***Submandibular gland- wharton duct
	**CT or US only if diagnosis is unclear		**CT or [[ultrasound]] only if diagnosis is unclear

	==Management==		==Management==

ClaireLewis: /* References */

2016-10-29T17:10:31Z

References

← Older revision		Revision as of 17:10, 29 October 2016
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	[[Category:ENT]]		[[Category:ENT]]
			[[Category:Symptoms]]

ClaireLewis at 23:18, 10 September 2016

2016-09-10T23:18:35Z

← Older revision		Revision as of 23:18, 10 September 2016
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	*<Haynes J, Arnold KR, Aguirre-Oskins C, and Chandra S. Evaluation of neck masses in adults. ''Am Fam Physician''. 2015 May 15;91(10):698-706./>		*<Haynes J, Arnold KR, Aguirre-Oskins C, and Chandra S. Evaluation of neck masses in adults. ''Am Fam Physician''. 2015 May 15;91(10):698-706./>
	*<Kentab OY, Qureshi N. Chapter 118. Neck Masses in Children. In: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e. New York, NY: McGraw-Hill; 2011. http://accessmedicine.mhmedical.com/content.aspx?bookid=348&Sectionid=40381590. Accessed August 11, 2016./>		*<Kentab OY, Qureshi N. Chapter 118. Neck Masses in Children. In: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e. New York, NY: McGraw-Hill; 2011. http://accessmedicine.mhmedical.com/content.aspx?bookid=348&Sectionid=40381590. Accessed August 11, 2016./>

			[[Category:ENT]]

Rossdonaldson1: /* See Also */

2016-08-15T02:35:28Z

← Older revision		Revision as of 02:35, 15 August 2016
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	==See Also==		==See Also==
			*[[Sore throat]]

	==External Links==		==External Links==