Neck mass: Difference between revisions
| Line 20: | Line 20: | ||
**Reactive lymphadenopathy | **Reactive lymphadenopathy | ||
***Viral URI | ***Viral URI | ||
***EBV | ***[[EBV]] | ||
***CMV | ***]]CMV]] | ||
***Strep/staph | ***Strep/staph | ||
***HIV | ***]]HIV]] | ||
***Toxoplasmosis | ***[[Toxoplasmosis]] | ||
***Bartonella | ***[[Bartonella]] | ||
***Tuberculosis | ***[[Tuberculosis]] | ||
**Sialadenitis (can also be chronic) | **[[Sialadenitis]] (can also be chronic) | ||
**Trauma-related | **Trauma-related | ||
***Hematoma | ***Hematoma | ||
| Line 37: | Line 37: | ||
***Upper aerodigestive tract squamous cell carcinoma | ***Upper aerodigestive tract squamous cell carcinoma | ||
***Metastatic disease | ***Metastatic disease | ||
***Lymphoma | ***[[Lymphoma]] | ||
***Parotid tumors | ***Parotid tumors | ||
**Systemic diseases | **Systemic diseases | ||
***Amyloidosis | ***[[Amyloidosis]] | ||
***Sarcoidosis | ***[[Sarcoidosis]] | ||
***Sjögren syndrome | ***Sjögren syndrome | ||
| Line 47: | Line 47: | ||
**Thyroid nodules or cancer | **Thyroid nodules or cancer | ||
**Goiters | **Goiters | ||
***Graves disease | ***[[Graves disease]] | ||
***Hashimoto thyroiditis | ***[[Hashimoto thyroiditis]] | ||
***Iodine deficiency | ***Iodine deficiency | ||
***Lithium use | ***[[Lithium]] use | ||
***Toxic multinodular | ***Toxic multinodular | ||
**Congenital cysts | **Congenital cysts | ||
Revision as of 00:23, 12 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
- Anatomy helpful in determining etiology
- Anterior and posterior cervical triangles divided by SCM
- Associated symptoms based on etiology:
- Pain
- Skin changes
- Stridor
- Hoarseness
- Fever
- URI symptoms
- Weight loss/night sweats
- Important to distinguish chronicity
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
- Parotid tumors
- Systemic diseases
- Amyloidosis
- Sarcoidosis
- Sjögren syndrome
- Cancer
- Chronic
- Thyroid nodules or cancer
- Goiters
- Graves disease
- Hashimoto thyroiditis
- Iodine deficiency
- Lithium use
- Toxic multinodular
- Congenital cysts
- Branchial cleft cyst
- Thyroglossal duct cyst
- Dermoid cyst
- Carotid body tumor
- Glomus jugulare or vagale tumor
- Laryngocele
- Lipoma/liposarcoma
- Parathyroid cysts or cancer
Evaluation
Management
Disposition
See Also
External Links
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.>