Neck masses differential diagnosis: Difference between revisions

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{|
{|
! rowspan="3" |Category
! rowspan="3" |Category
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases
! colspan="2" rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases
!
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign
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! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings
|-
|-
!
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Demography
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Demography
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |History
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |History
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! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Imaging
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Imaging
|-
|-
!
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Mass
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Mass
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pain
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pain
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! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Others
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Others
|-
|-
!Congenital
! rowspan="10" |Congenital
! align="center" style="background:#DCDCDC;" |'''Branchial cleft cyst'''  
! colspan="2" align="center" style="background:#DCDCDC;" |'''Branchial cleft cyst'''  
!
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
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| align="center" style="background:#F5F5F5;" |  
| align="center" style="background:#F5F5F5;" |  
|-
|-
!
! colspan="2" align="center" style="background:#DCDCDC;" |'''Thyroglossal duct cyst'''
! align="center" style="background:#DCDCDC;" |'''Thyroglossal duct cyst'''
!
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
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| align="center" style="background:#F5F5F5;" |  
| align="center" style="background:#F5F5F5;" |  
|-
|-
!
! colspan="2" align="center" style="background:#DCDCDC;" |'''Hemangioma'''
! align="center" style="background:#DCDCDC;" |'''Hemangioma'''
!
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
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| align="center" style="background:#F5F5F5;" |  
| align="center" style="background:#F5F5F5;" |  
|-
|-
!
! colspan="2" align="center" style="background:#DCDCDC;" |Vascular malformations
! align="center" style="background:#DCDCDC;" |Vascular malformations
!
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
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| align="center" style="background:#F5F5F5;" |  
| align="center" style="background:#F5F5F5;" |  
|-
|-
!
! colspan="2" align="center" style="background:#DCDCDC;" |Lymphatic malformations
! align="center" style="background:#DCDCDC;" |Lymphatic malformations
!
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
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| align="center" style="background:#F5F5F5;" |  
| align="center" style="background:#F5F5F5;" |  
|-
|-
!
! colspan="2" align="center" style="background:#DCDCDC;" |'''Laryngocele'''  
! align="center" style="background:#DCDCDC;" |'''Laryngocele'''  
!
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
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| align="center" style="background:#F5F5F5;" |  
| align="center" style="background:#F5F5F5;" |  
|-
|-
!
! colspan="2" align="center" style="background:#DCDCDC;" |'''Ranula'''  
! align="center" style="background:#DCDCDC;" |'''Ranula'''  
!
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
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| align="center" style="background:#F5F5F5;" |  
| align="center" style="background:#F5F5F5;" |  
|-
|-
!
! colspan="2" |'''Teratoma'''  
!'''Teratoma'''  
!
!
!
!
!
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!
!
|-
|-
!
! colspan="2" |'''Dermoid cyst'''
!'''Dermoid cyst'''
!
!
!
!
!
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!
!
|-
|-
!
! colspan="2" |'''Thymic cyst'''  
!'''Thymic cyst'''  
!
!
!
!
!
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|-
|-
!Category
!Category
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases
! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases
!
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign
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! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings
|-
|-
!Inflammatory
! rowspan="12" |Inflammatory
! align="center" style="background:#DCDCDC;" |'''Reactive viral lymphadenopathy'''
! colspan="2" align="center" style="background:#DCDCDC;" |'''Reactive viral lymphadenopathy'''
!
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
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| align="center" style="background:#F5F5F5;" |  
| align="center" style="background:#F5F5F5;" |  
|-
|-
! colspan="2" |HIV
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
! align="center" style="background:#DCDCDC;" |'''Bacterial lymphadenopathy'''
!
!
|-
! rowspan="5" align="center" style="background:#DCDCDC;" |'''Bacterial lymphadenopathy'''
!Tularemia
!Tularemia
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
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| align="center" style="background:#F5F5F5;" |  
| align="center" style="background:#F5F5F5;" |  
|-
|-
!
! align="center" style="background:#DCDCDC;" |
!Brucellosis
!Brucellosis
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
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| align="center" style="background:#F5F5F5;" |  
| align="center" style="background:#F5F5F5;" |  
|-
|-
!
! align="center" style="background:#DCDCDC;" |
!Cat-scratch disease
!Cat-scratch disease
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
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| align="center" style="background:#F5F5F5;" |  
| align="center" style="background:#F5F5F5;" |  
|-
|-
!
! align="center" style="background:#DCDCDC;" |
!Actinomycosis  
!Actinomycosis  
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
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| align="center" style="background:#F5F5F5;" |  
| align="center" style="background:#F5F5F5;" |  
|-
|-
!
! align="center" style="background:#DCDCDC;" |
!Mycobacterial infections  
!Mycobacterial infections  
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
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| align="center" style="background:#F5F5F5;" |  
| align="center" style="background:#F5F5F5;" |  
|-
|-
!
! align="center" style="background:#DCDCDC;" |
!HIV
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
|-
!
! align="center" style="background:#DCDCDC;" |'''Parasitic lymphadenopathy'''
! align="center" style="background:#DCDCDC;" |'''Parasitic lymphadenopathy'''
!Toxoplasma gondii
!Toxoplasma gondii
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| align="center" style="background:#F5F5F5;" |  
| align="center" style="background:#F5F5F5;" |  
|-
|-
!
! colspan="2" align="center" style="background:#DCDCDC;" |Sarcoidosis
! align="center" style="background:#DCDCDC;" |Sarcoidosis
!
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
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| align="center" style="background:#F5F5F5;" |  
| align="center" style="background:#F5F5F5;" |  
|-
|-
!
! colspan="2" align="center" style="background:#DCDCDC;" |Castleman disease
! align="center" style="background:#DCDCDC;" |Castleman disease
!
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
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| align="center" style="background:#F5F5F5;" |  
| align="center" style="background:#F5F5F5;" |  
|-
|-
!
! colspan="2" align="center" style="background:#DCDCDC;" |Rosai-Dorfman disease
! align="center" style="background:#DCDCDC;" |Rosai-Dorfman disease
!
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
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| align="center" style="background:#F5F5F5;" |  
| align="center" style="background:#F5F5F5;" |  
|-
|-
!
! colspan="2" |Kawasaki disease
!Kawasaki disease
!
!
!
!
!
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|-
|-
!Category
!Category
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases
! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases
!
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign
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! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings
|-
|-
!Neoplasm
! rowspan="16" |Neoplasm
! align="center" style="background:#DCDCDC;" |'''primary thyroid tumor'''
! colspan="2" align="center" style="background:#DCDCDC;" |'''primary thyroid tumor'''
!
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
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| align="center" style="background:#F5F5F5;" |  
| align="center" style="background:#F5F5F5;" |  
|-
|-
!
! rowspan="10" align="center" style="background:#DCDCDC;" |'''Salivary gland neoplasm'''
! align="center" style="background:#DCDCDC;" |'''Benign salivary gland neoplasm'''
!pleomorphic adenoma
!pleomorphic adenoma
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" | +
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
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| align="center" style="background:#F5F5F5;" |  
| align="center" style="background:#F5F5F5;" |  
|-
|-
!
! align="center" style="background:#DCDCDC;" |
!Warthin's tumor
!Warthin's tumor
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" | +
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
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| align="center" style="background:#F5F5F5;" |  
| align="center" style="background:#F5F5F5;" |  
|-
|-
!
! align="center" style="background:#DCDCDC;" |
!lymphoepithelioma
!lymphoepithelioma
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" | +
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
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| align="center" style="background:#F5F5F5;" |  
| align="center" style="background:#F5F5F5;" |  
|-
|-
!
!
!oncocytoma
!oncocytoma
!
!
!
!+
!
!
!
!
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!
!
|-
|-
!
!
!monomorphic adenoma
!monomorphic adenoma
!
!
!
!+
!
!
!
!
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!
!
|-
|-
!
!'''Malignant salivary gland neoplasm'''
!mucoepidermoid carcinoma
!mucoepidermoid carcinoma
!
!
!
!
!
!+
!
!
!
!
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!
!
|-
|-
!
!
!adenoid cystic carcinoma
!adenoid cystic carcinoma
!
!
!
!
!
!+
!
!
!
!
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!
!
|-
|-
!
!
!adenocarcinoma
!adenocarcinoma
!
!
!
!
!
!+
!
!
!
!
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!
!
|-
|-
!
!
!salivary duct carcinoma
!salivary duct carcinoma
!
!
!
!
!
!+
!
!
!
!
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!
!
|-
|-
!
!
!squamous cell carcinoma
!squamous cell carcinoma
!
!
!
!
!
!+
!
!
!
!
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!
!
|-
|-
!
! colspan="2" |'''Paraganglioma'''
!'''Paraganglioma'''
!
!
!
!
!
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!
!
|-
|-
!
! colspan="2" |'''Schwannoma'''  
!'''Schwannoma'''  
!
!
!
!
!
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!
!
|-
|-
!
! colspan="2" |'''Lymphoma'''  
!'''Lymphoma'''  
!
!
!
!
!
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!
!
|-
|-
!
! colspan="2" |'''Lipoma'''  
!'''Lipoma'''  
!
!
!
!
!
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!
!
|-
|-
!
! colspan="2" align="center" style="background:#DCDCDC;" |'''Metastatic head and neck carcinoma'''
! align="center" style="background:#DCDCDC;" |'''Metastatic head and neck carcinoma'''
!
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
| align="center" style="background:#F5F5F5;" |
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|-
|-
!Category
!Category
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases
! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases
!
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign

Revision as of 17:34, 14 January 2019

Neck masses Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Neck Masses from other Conditions

Epidemiology and Demographics

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

Overview

Differentiating neck masses from other Diseases

Differential diagnosis of neck masses include:

Category Diseases Etiology Benign Malignant Clinical manifestation Paraclinical findings Gold standard diagnosis Associated findings
Demography History Symptoms Signs Lab findings Histopathology Imaging
Mass Pain Dysphagia Mass exam Skin changes LAP Others
Congenital Branchial cleft cyst
Thyroglossal duct cyst
Hemangioma
Vascular malformations
Lymphatic malformations
Laryngocele
Ranula
Teratoma
Dermoid cyst
Thymic cyst
Category Diseases Etiology Benign Malignant Demography History Mass Pain Dysphagia Mass exam Skin changes LAP Others Lab findings Histopathology Imaging Gold standard diagnosis Associated findings
Inflammatory Reactive viral lymphadenopathy
HIV
Bacterial lymphadenopathy Tularemia
Brucellosis
Cat-scratch disease
Actinomycosis
Mycobacterial infections
Parasitic lymphadenopathy Toxoplasma gondii
Sarcoidosis
Castleman disease
Rosai-Dorfman disease
Kawasaki disease
Category Diseases Etiology Benign Malignant Demography History Mass Pain Dysphagia Mass exam Skin changes LAP Others Lab findings Histopathology Imaging Gold standard diagnosis Associated findings
Neoplasm primary thyroid tumor
Salivary gland neoplasm pleomorphic adenoma +
Warthin's tumor +
lymphoepithelioma +
oncocytoma +
monomorphic adenoma +
mucoepidermoid carcinoma +
adenoid cystic carcinoma +
adenocarcinoma +
salivary duct carcinoma +
squamous cell carcinoma +
Paraganglioma
Schwannoma
Lymphoma
Lipoma
Metastatic head and neck carcinoma
Category Diseases Etiology Benign Malignant Demography History Mass Pain Dysphagia Mass exam Skin changes LAP Others Lab findings Histopathology Imaging Gold standard diagnosis Associated findings

References

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