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   Image          = Neck mass.jpg|
   Image          = Neck mass.jpg|
   Caption        = Neck mass. Hodgkin lymphoma. <br> <small> [http://www.peir.net Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology] </small>|
   Caption        = Neck mass. Hodgkin lymphoma. <br> <small> [http://www.peir.net Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology] </small>|
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{{Neck masses}}
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==Overview==
==[[Neck masses overview|Overview]]==
A '''neck mass''' is an ambiguous mass found in the neck area.  There are many different possible causes,<ref name="urlNeck Mass: Approach to the Patient With Nasal and Pharyngeal Symptoms: Merck Manual Professional">{{cite web |url=http://www.merck.com/mmpe/sec08/ch089/ch089d.html |title=Neck Mass: Approach to the Patient With Nasal and Pharyngeal Symptoms: Merck Manual Professional |work= |accessdate=}}</ref> including congenital conditions like branchial anomalies and thyroglossal duct cysts.<ref name="pmid12322776">{{cite journal |author=Schwetschenau E, Kelley DJ |title=The adult neck mass |journal=Am Fam Physician |volume=66 |issue=5 |pages=831–8 |year=2002 |month=September |pmid=12322776 |doi= |url=http://www.aafp.org/link_out?pmid=12322776}}</ref>


==Causes==  
==[[Neck masses historical perspective|Historical Perspective]]==
==[[Neck masses classification|Classification]]==
==[[Neck masses pathophysiology|Pathophysiology]]==


===Causes in Alphabetical Order<ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>===
==[[Neck masses causes|Causes]]==


* [[Abscess]]
==[[Neck masses differential diagnosis|Differentiating Neck Masses from other Conditions]]==
* Acute [[lymphadenitis]]
* [[Adenoma]]
* [[Angioma]]
* Atypical mycobacterium
* Branchial cleft cyst
* [[Carcinoma]]
* Carotid body tumor
* [[Cat-scratch disease]]
* Cystic hygroma
* [[Hemangioma]]
* [[HIV]]
* [[Hyperplasia]]
* Laryngeal tumor
* [[Laryngocele]]
* [[Lymphoma]]
* Metastasis
* [[Mononucleosis]]
* [[Neurofibroma]]
* Parathyroid tumor
* Salivary gland tumor
* [[Sarcoidosis]]
* [[Sarcoma]]
* [[Schwannoma]]
* Skin cancer
* Soft tissue tumor
* Thyroglossal duct cyst
* [[Thyroid cancer]]
* [[Thyroiditis]]
* [[Thyrotoxicosis]]
* Tuberculosis scrofula
* Upper aerodigestive tract tumor


== History and Symptoms ==  
==[[Neck masses epidemiology and demographics|Epidemiology and Demographics]]==
* Recent growth
* Age
* Radiation exposure
* Localized symptoms
* Social history
* Family history


== Physical Examination ==  
==[[Neck masses risk factors|Risk Factors]]==
* Evaluate for size, location, color, symmetry, tenderness, consistency


== Laboratory Findings ==  
==[[Neck masses natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
* Complete blood count (CBC)
* Blood urea nitrogen (BUN)/creatinine
* Thyroid stimulating hormone (TSH)
* Parathyroid hormone
* Erythrocyte sedimentation rate (ESR)
* Calcium
* Phosphorus
* Monospot test
* Free T4
* Chemistries


=== Chest X Ray ===  
==Diagnosis==
* Chest X-ray
[[Neck masses history and symptoms|History and Symptoms]] | [[Neck masses physical examination|Physical Examination]] | [[Neck masses laboratory findings|Laboratory Findings]] | [[Neck masses x ray|X Ray]] | [[Neck masses CT|CT]] | [[Neck masses MRI|MRI]] | [[Neck masses ultrasound|Ultrasound]] | [[Neck masses other imaging findings|Other Imaging Findings]] | [[Neck masses other diagnostic studies|Other Diagnostic Studies]]
 
=== MRI and CT ===
* CT scan
* MRI
 
=== Other Imaging Findings ===
* Angiography
* Barium swallow
* Radioactive iodine uptake scan
 
=== Other Diagnostic Studies ===
* Open biopsy
* Fine needle aspiration
 
== Treatment ==
 
=== Acute Pharmacotherapies ===
* Antibiotics
* Antithyroid medications
* Chemotherapy
* Radiation
* Immunotherapy
 
=== Surgery and Device Based Therapy ===
* Thyroid ablation
* Incision and ablation
* Excisional biopsy
* Parotidectomy
* Neck dissection
* Parathyroidectomy
* Subtotal or total thyroidectomy
* Thyroid lobectomy
 
== References ==
{{Reflist}}


==Treatment==
[[Neck masses medical therapy|Medical Therapy]] | [[Neck masses surgery|Surgery]] | [[Neck masses primary prevention|Primary Prevention]] | [[Neck masses secondary prevention|Secondary Prevention]] | [[Neck masses cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Neck masses future or investigational therapies|Future or Investigational Therapies]]


== Case Studies ==
[[Neck masses case study one|Case #1]]
{{WH}}
{{WikiDoc Sources}}


[[Category:Musculoskeletal Disease]]
[[Category:Musculoskeletal Disease]]
[[Category:Signs and symptoms]]
[[Category:Physical examination]]
[[Category:Physical examination]]
[[Category:Primary care]]
[[Category:Otolaryngology]]
[[Category:Otolaryngology]]
{{WH}}
{{WikiDoc Sources}}

Latest revision as of 22:55, 29 July 2020

Neck masses
Neck mass. Hodgkin lymphoma.
Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology

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Physical Examination

Laboratory Findings

X Ray

CT

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Ultrasound

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Medical Therapy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Neck Masses from other Conditions

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | X Ray | CT | MRI | Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1 Template:WH Template:WikiDoc Sources