Neck mass: Difference between revisions
| Line 38: | Line 38: | ||
***Parotid tumors | ***Parotid tumors | ||
**Amyloidosis | **Amyloidosis | ||
**Sarcoidosis | **Sarcoidosis | ||
**Sjögren syndrome | **Sjögren syndrome | ||
| Line 45: | Line 43: | ||
*Chronic | *Chronic | ||
**Thyroid pathology | **Thyroid pathology | ||
**Branchial cleft cyst | **Congenital cysts | ||
***Branchial cleft cyst | |||
***Thyroglossal duct cyst | |||
***Dermoid cyst | |||
**Carotid body tumor | **Carotid body tumor | ||
**Glomus jugulare | **Glomus jugulare or vagale tumor | ||
**Laryngocele | **Laryngocele | ||
**Lipoma/liposarcoma | **Lipoma/liposarcoma | ||
**Parathyroid pathology | **Parathyroid pathology | ||
Revision as of 22:15, 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
- 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