neck mass/adenopathy
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Etiology
- infection
- malignancy (see head & neck cancer)[1]
Clinical manifestations
- findings suggestive of malignancy
- presence > 2 weeks without major changes
- fixation to adjacent tissue
- firm consistency
- mass > 1.5 cm
- ulceration of overlying skin[1]
Diagnostic procedures
- fine needle aspiration of mass when diagnosis is uncertain[1]
* see head & neck cancer if malignancy confirmed
Radiology
- CT of neck or MRI of neck[1]
- do not order ultrasonography if findings consistent with malignancy[2]
Management
- targeted physical exam
- antibiotics should not be prescribed in the absence of signs/symptoms of bacterial infection[1]
- referral to otolaryngology if findings consistent with malignancy[2]
More general terms
References
- ↑ Jump up to: 1.0 1.1 1.2 1.3 1.4 1.5 Pynnonen MA, Gillespie MB, Roman B et al Clinical Practice Guideline: Evaluation of the Neck Mass in Adults. Otolaryngology - Head and Neck Surgery , September 10, 2017 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/28891424 <Internet> http://journals.sagepub.com/doi/full/10.1177/0194599817722550
- ↑ Jump up to: 2.0 2.1 2.2 Medical Knowledge Self Assessment Program (MKSAP) 20 American College of Physicians, Philadelphia 2025
- ↑ Chorath K, Rajasekaran K. Evaluation and management of a neck mass. Med Clin North Am. 2021;105:827-37. PMID: https://www.ncbi.nlm.nih.gov/pubmed/34391536