Neck mass: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
*Acute | *Acute | ||
** | **Reactive lymphadenopathy | ||
***Viral URI | ***Viral URI | ||
***EBV | ***EBV | ||
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**Sialadenitis | **Sialadenitis | ||
**Hematoma | **Hematoma | ||
**AV fistula | **Pseudoaneurysm or AV fistula | ||
*Subacute | *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 | **Amyloidosis | ||
**Metastatic disease | **Metastatic disease | ||
**Parotid tumor | **Parotid tumor | ||
| Line 44: | Line 49: | ||
**Glomus vagale tumor | **Glomus vagale tumor | ||
**Laryngocele | **Laryngocele | ||
**Lipoma | **Lipoma/liposarcoma | ||
**Thyroglossal duct cyst | **Thyroglossal duct cyst | ||
**Parathyroid pathology | |||
==Evaluation== | ==Evaluation== | ||
Revision as of 22:07, 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
- 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