Neck mass: Difference between revisions
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***Bartonella | ***Bartonella | ||
***Tuberculosis | ***Tuberculosis | ||
**Sialadenitis | **Sialadenitis (can also be chronic) | ||
**Hematoma | **Trauma0related | ||
**Pseudoaneurysm or AV fistula | ***Hematoma | ||
***Pseudoaneurysm or AV fistula | |||
*Subacute (weeks to months) | *Subacute (weeks to months) | ||
| Line 51: | Line 52: | ||
**Lipoma/liposarcoma | **Lipoma/liposarcoma | ||
**Thyroglossal duct cyst | **Thyroglossal duct cyst | ||
**Parathyroid pathology | **Parathyroid pathology | ||
==Evaluation== | ==Evaluation== | ||
Revision as of 22:10, 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)
- Trauma0related
- 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
- Metastatic disease
- Parotid tumor
- Sarcoidosis
- Sjögren syndrome
- Cancer
- Chronic
- Thyroid pathology
- Branchial cleft cyst
- Carotid body tumor
- Glomus jugulare tumor
- Glomus vagale tumor
- Laryngocele
- Lipoma/liposarcoma
- Thyroglossal duct cyst
- Parathyroid pathology