Neck mass

Specialty| ENT surgery

A neck mass or neck lump is an ambiguous mass found in the neck area. There are many different possible causes,[1] including head and neck cancer[2] and congenital conditions like branchial anomalies and thyroglossal duct cysts.[3]

## Contents

* 1 Diagnosis
* 2 See also
* 3 References
* 4 External links

## Diagnosis

Workup of a neck mass includes a medical history and a physical examination, where important characteristics are location, size, shape, consistency, tenderness, mobility, and color.[4]

When this is not conclusive, further workup includes:

* Blood tests
* Medical imaging: Contrast CT is generally the initial study of choice for adults.[4] Medical ultrasound of the neck is useful in children because it avoids the radiation dose of CT.[4]

In some cases, fine needle aspiration may assist in the diagnosis.

## See also

* Cervical lymphadenopathy

## References

1. ↑ "Neck Mass: Approach to the Patient With Nasal and Pharyngeal Symptoms: Merck Manual Professional". http://www.merck.com/mmpe/sec08/ch089/ch089d.html.
2. ↑ Pynnonen, Melissa A.; Gillespie, M. Boyd; Roman, Benjamin; Rosenfeld, Richard M.; Tunkel, David E.; Bontempo, Laura; Brook, Itzhak; Chick, Davoren Ann et al. (September 2017). "Clinical Practice Guideline: Evaluation of the Neck Mass in Adults" (in en). Otolaryngology–Head and Neck Surgery 157 (S2). doi:10.1177/0194599817722550. ISSN 0194-5998. https://aao-hnsfjournals.onlinelibrary.wiley.com/doi/10.1177/0194599817722550.
3. ↑ "The adult neck mass". Am Fam Physician 66 (5): 831–8. September 2002. PMID 12322776. http://www.aafp.org/link_out?pmid=12322776.
4. ↑ 4.0 4.1 4.2 Daniel G Deschler, Joseph Zenga. "Evaluation of a neck mass in adults". https://www.uptodate.com/contents/evaluation-of-a-neck-mass-in-adults. This topic last updated: Dec 04, 2017.

## External links

Classification|

* ICD-10: R22.1
* ICD-9-CM: 784.2

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* t
* e

Symptoms and signs: skin and subcutaneous tissue (R20–R23, 782)

Disturbances of
skin sensation|

* Hypoesthesia
* Paresthesia
* Formication
* Hyperesthesia

* Hypoalgesia
* Hyperalgesia

Circulation|

* Cyanosis
* Pallor/Livedo
* Livedo reticularis
* Flushing
* Petechia

Edema|

* Peripheral edema
* Anasarca

Other|

* Rash
* Desquamation
* Induration
* Diaphoresis
* Mass
* Neck mass

Skin|

* Asboe-Hansen sign
* Auspitz's sign
* Borsari's sign
* Braverman's sign
* Crowe sign
* Dennie–Morgan fold
* Darier's sign
* Fitzpatrick's sign
* Florid cutaneous papillomatosis

* Gottron's sign
* Hutchinson's sign
* Janeway lesion
* Kerr's sign
* Koebner's phenomenon
* Koplik's spots
* Leser-Trelat sign
* Nikolsky's sign
* Pastia's sign
* Russell's sign
* Wickham striae
* Wolf's isotopic response
* Munro's microabscess

Nails|

* Aldrich-Mees' lines
* Beau's lines
* Muehrcke's lines
* Terry's nails

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