Neck masses differential diagnosis: Difference between revisions

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Revision as of 17:58, 14 January 2019

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
						Demography	History	Mass	Pain	Dysphagia	Mass exam	Skin changes	LAP	Others	Lab findings	Histopathology	Imaging
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
	Acute sialadenitis
	Chronic sialadenitis
Inflammatory	Reactive viral lymphadenopathy	CMV
		EBV
		HIV
		Viral URI
	Bacterial lymphadenopathy	Tularemia
		Brucellosis
		Cat-scratch disease	Bartonella henselae infection
		Actinomycosis
		Mycobacterial infections
		Staphylococcal or streptococcal infection
	Parasitic lymphadenopathy	Toxoplasma gondii
	Sarcoidosis
	Amyloidosis
	Sjögren syndrome
	Castleman disease (angiofollicular lymphoproliferative disease)
	Kikuchi disease (histiocytic necrotizing lymphadenitis)
	Kimura 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
	Parathyroid tumors
	Carotid body tumors
	Paraganglioma
	Schwannoma
	Lymphoma
	Liposarcoma
	Lipoma
	Glomus vagale, glomus jugulare tumors
	Metastatic head and neck carcinoma
Other	Hematoma		Trauma
	Arteriovenous fistula		Trauma with shearing forces
	Goiter
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

Neck masses differential diagnosis: Difference between revisions

Revision as of 17:58, 14 January 2019

Overview

Differentiating neck masses from other Diseases

References

Navigation menu

@@ Line 245: / Line 245: @@
 ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings
 |-
-! rowspan="12" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Inflammatory
+|
-! colspan="2" align="center" style="background:#DCDCDC;" |Reactive viral lymphadenopathy
+! colspan="2" |Acute sialadenitis
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+|-
+|
+| colspan="2" |Chronic sialadenitis
+|
+|
+|
+|
+|
+|
+|
+|
+|
+|
+|
+|
+|
+|
+|
+|
+|
+|-
+! rowspan="19" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Inflammatory
+! rowspan="4" align="center" style="background:#DCDCDC;" |Reactive viral lymphadenopathy
+!CMV
 | align="center" style="background:#F5F5F5;" |
-* CMV
-* EBV
 | align="center" style="background:#F5F5F5;" |
 | align="center" style="background:#F5F5F5;" |
@@ Line 267: / Line 306: @@
 | align="center" style="background:#F5F5F5;" |
 |-
-! colspan="2" align="center" style="background:#DCDCDC;" |HIV
+!EBV
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+|-
+!HIV
 | align="center" style="background:#F5F5F5;" |
 | align="center" style="background:#F5F5F5;" |
@@ Line 286: / Line 344: @@
 | align="center" style="background:#F5F5F5;" |
 |-
-! rowspan="5" align="center" style="background:#DCDCDC;" |Bacterial lymphadenopathy
+!Viral URI
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+|-
+! rowspan="6" align="center" style="background:#DCDCDC;" |Bacterial lymphadenopathy
 ! align="center" style="background:#DCDCDC;" |Tularemia
 | align="center" style="background:#F5F5F5;" |
@@ Line 382: / Line 459: @@
 | align="center" style="background:#F5F5F5;" |
 | align="center" style="background:#F5F5F5;" |
+|-
+!Staphylococcal or streptococcal infection
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
 |-
 ! align="center" style="background:#DCDCDC;" |'''Parasitic lymphadenopathy'''
@@ Line 422: / Line 518: @@
 | align="center" style="background:#F5F5F5;" |
 |-
-! colspan="2" align="center" style="background:#DCDCDC;" |Castleman disease
+! colspan="2" |Amyloidosis
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+|-
+! colspan="2" |Sjögren syndrome
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+|-
+! colspan="2" align="center" style="background:#DCDCDC;" |Castleman disease (angiofollicular lymphoproliferative disease)
 | align="center" style="background:#F5F5F5;" |
 | align="center" style="background:#F5F5F5;" |
@@ Line 440: / Line 574: @@
 | align="center" style="background:#F5F5F5;" |
 | align="center" style="background:#F5F5F5;" |
+|-
+! colspan="2" |Kikuchi disease (histiocytic necrotizing lymphadenitis)
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+|-
+! colspan="2" |Kimura disease
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
 |-
 ! colspan="2" align="center" style="background:#DCDCDC;" |Rosai-Dorfman disease
@@ Line 499: / Line 671: @@
 ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings
 |-
-! rowspan="16" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Neoplasm
+! rowspan="20" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Neoplasm
 ! colspan="2" align="center" style="background:#DCDCDC;" |Primary thyroid tumor
 | align="center" style="background:#F5F5F5;" |
@@ Line 709: / Line 881: @@
 | align="center" style="background:#F5F5F5;" |
 | align="center" style="background:#F5F5F5;" |
+|-
+! colspan="2" |Parathyroid tumors
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+|-
+! colspan="2" |Carotid body tumors
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
 |-
 ! colspan="2" align="center" style="background:#DCDCDC;" |Paraganglioma
@@ Line 766: / Line 976: @@
 | align="center" style="background:#F5F5F5;" |
 | align="center" style="background:#F5F5F5;" |
+|-
+! colspan="2" |Liposarcoma
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
 |-
 ! colspan="2" align="center" style="background:#DCDCDC;" |Lipoma
@@ Line 785: / Line 1,014: @@
 | align="center" style="background:#F5F5F5;" |
 | align="center" style="background:#F5F5F5;" |
+|-
+! colspan="2" |Glomus vagale, glomus jugulare tumors
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
 |-
 ! colspan="2" align="center" style="background:#DCDCDC;" |Metastatic head and neck carcinoma
@@ Line 804: / Line 1,052: @@
 | align="center" style="background:#F5F5F5;" |
 | align="center" style="background:#F5F5F5;" |
+|-
+! rowspan="3" |Other
+! colspan="2" |'''Hematoma'''
+!
+* '''Trauma'''
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+|-
+! colspan="2" |'''Arteriovenous fistula'''
+!
+* Trauma with shearing forces
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+|-
+! colspan="2" |Goiter
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
+!
 |-
 ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Category