Diferencia entre revisiones de «Neck mass»

Sin resumen de edición
Línea 23: Línea 23:
***Bartonella
***Bartonella
***Tuberculosis  
***Tuberculosis  
**Sialadenitis
**Sialadenitis (can also be chronic)
**Hematoma
**Trauma0related
**Pseudoaneurysm or AV fistula
***Hematoma
***Pseudoaneurysm or AV fistula


*Subacute (weeks to months)
*Subacute (weeks to months)
Línea 51: Línea 52:
**Lipoma/liposarcoma
**Lipoma/liposarcoma
**Thyroglossal duct cyst
**Thyroglossal duct cyst
**Parathyroid pathology  
**Parathyroid pathology


==Evaluation==
==Evaluation==

Revisión del 22:10 11 ago 2016

Background

  • Common complaint seen in primary care medicine
  • Important to recognize acutely life threatening etiologies, treatable disease, and potential for malignancy

Clinical Features

  • Enlarged neck lesions
    • Associated symptoms based on etiology may include:
      • Pain
      • Skin changes
      • Stridor
      • Hoarseness
      • Constitutional symptoms

Differential Diagnosis

  • Acute
    • Reactive lymphadenopathy
      • Viral URI
      • EBV
      • CMV
      • Strep/staph
      • HIV
      • Toxoplasmosis
      • Bartonella
      • Tuberculosis
    • Sialadenitis (can also be chronic)
    • Trauma0related
      • Hematoma
      • Pseudoaneurysm or AV fistula
  • Subacute (weeks to months)
    • Cancer
      • HPV-related squamous cell carcinoma
      • Upper aerodigestive tract squamous cell carcinoma
      • Metastatic disease
      • Lymphoma
        • Hodgkin's
        • Non-hodgkin's
      • Parotid tumors
    • Amyloidosis
    • Metastatic disease
    • Parotid tumor
    • Sarcoidosis
    • Sjögren syndrome
  • Chronic
    • Thyroid pathology
    • Branchial cleft cyst
    • Carotid body tumor
    • Glomus jugulare tumor
    • Glomus vagale tumor
    • Laryngocele
    • Lipoma/liposarcoma
    • Thyroglossal duct cyst
    • Parathyroid pathology

Evaluation

Management

Disposition

See Also

External Links

References