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neck mass/adenopathy
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]
Special laboratory:
- 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]
Management:
- targeted physical exam
- antibiotics should not be prescribed in the absence of signs/symptoms of bacterial infection [1]
General
mass lesion
sign/symptom
References
- 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
PMID: 28891424
http://journals.sagepub.com/doi/full/10.1177/0194599817722550