Neck masses

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Neck masses

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Differential Diagnosis

  • Abscess
  • 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 [1] [1]

History and Symptoms

  • Recent growth
  • Age
  • Radiation exposure
  • Localized symptoms
  • Social history
  • Family history

Physical Examination

  • Evaluate for size, location, color, symmetry, tenderness, consistency

Laboratory Findings

  • 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

  • Chest X-ray

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

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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

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