Template:Neck mass DDX

Neck mass

Acute

• Reactive lymphadenopathy- most common
  • Viral URI
  • EBV
  • CMV
  • Strep/staph
  • HIV
  • Toxoplasmosis
  • Bartonella henselae- kitten or flea exposure
  • Tuberculous lymphadenitis (scrofula)
• Descending infections from oral cavity
  • Ludwig's angina
• Sialoadenitis (can also be chronic)
• Trauma-related
  • Hematoma
  • Pseudoaneurysm or AV fistula

Subacute (weeks to months)

• Cancer
  • HPV-related squamous cell carcinoma
  • Upper aerodigestive tract squamous cell carcinoma
  • Metastatic disease
  • Lymphoma
  • Parotid tumors
• Systemic diseases
  • Amyloidosis
  • Sarcoidosis
  • Sjögren syndrome

Chronic

• Thyroid nodules or cancer
• Goiters
  • Graves' disease
  • Hashimoto thyroiditis
  • Iodine deficiency
  • Lithium use
  • Toxic multinodular
• Congenital cysts
  • Branchial cleft cyst
  • Thyroglossal duct cyst- 2nd most common benign neck mass
  • Dermoid cyst
• Carotid body tumor
• Glomus jugulare or vagale tumor
• Laryngocele
• Lipoma/liposarcoma
• Parathyroid cysts or cancer