Neck mass: Difference between revisions
| Line 24: | Line 24: | ||
***Tuberculosis | ***Tuberculosis | ||
**Sialadenitis (can also be chronic) | **Sialadenitis (can also be chronic) | ||
** | **Trauma-related | ||
***Hematoma | ***Hematoma | ||
***Pseudoaneurysm or AV fistula | ***Pseudoaneurysm or AV fistula | ||
Revision as of 22:22, 11 August 2016
Background
- Common complaint seen in primary care medicine
- Important to recognize acutely life threatening etiologies, treatable disease, and potential for malignancy
Clinical Features
- Enlarged neck lesions
- Associated symptoms based on etiology may include:
- Pain
- Skin changes
- Stridor
- Hoarseness
- Constitutional symptoms
- Associated symptoms based on etiology may include:
Differential Diagnosis
- Acute
- Reactive lymphadenopathy
- Viral URI
- EBV
- CMV
- Strep/staph
- HIV
- Toxoplasmosis
- Bartonella
- Tuberculosis
- Sialadenitis (can also be chronic)
- Trauma-related
- Hematoma
- Pseudoaneurysm or AV fistula
- Reactive lymphadenopathy
- Subacute (weeks to months)
- Cancer
- HPV-related squamous cell carcinoma
- Upper aerodigestive tract squamous cell carcinoma
- Metastatic disease
- Lymphoma
- Hodgkin's
- Non-hodgkin's
- Parotid tumors
- Amyloidosis
- Sarcoidosis
- Sjögren syndrome
- Cancer
- Chronic
- Thyroid pathology
- Congenital cysts
- Branchial cleft cyst
- Thyroglossal duct cyst
- Dermoid cyst
- Carotid body tumor
- Glomus jugulare or vagale tumor
- Laryngocele
- Lipoma/liposarcoma
- Parathyroid pathology