Neck mass: Difference between revisions
| Line 34: | Line 34: | ||
***Metastatic disease | ***Metastatic disease | ||
***Lymphoma | ***Lymphoma | ||
***Parotid tumors | ***Parotid tumors | ||
**Amyloidosis | **Systemic diseases | ||
**Sarcoidosis | ***Amyloidosis | ||
**Sjögren syndrome | ***Sarcoidosis | ||
***Sjögren syndrome | |||
*Chronic | *Chronic | ||
**Thyroid | **Thyroid nodules or cancer | ||
**Goiters | |||
***Graves disease | |||
***Hashimoto thyroiditis | |||
***Iodine deficiency | |||
***Lithium use | |||
***Toxic multinodular | |||
**Congenital cysts | **Congenital cysts | ||
***Branchial cleft cyst | ***Branchial cleft cyst | ||
| Line 51: | Line 56: | ||
**Laryngocele | **Laryngocele | ||
**Lipoma/liposarcoma | **Lipoma/liposarcoma | ||
**Parathyroid | **Parathyroid cysts or cancer | ||
==Evaluation== | ==Evaluation== | ||
Revision as of 22:34, 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
- 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