Neck mass
| Neck mass | |
|---|---|
| Synonyms | Cervical mass, neck lump |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Swelling in the neck, pain, dysphagia |
| Complications | Airway obstruction, infection, malignancy |
| Onset | Varies depending on cause |
| Duration | Acute or chronic |
| Types | N/A |
| Causes | Infection, neoplasm, congenital conditions, thyroid disorders |
| Risks | Smoking, alcohol consumption, family history of cancer |
| Diagnosis | Physical examination, imaging studies (ultrasound, CT scan, MRI), biopsy |
| Differential diagnosis | Thyroid nodule, lymphadenopathy, branchial cleft cyst, thyroglossal duct cyst |
| Prevention | N/A |
| Treatment | Depends on cause; may include antibiotics, surgery, radiation therapy, chemotherapy |
| Medication | N/A |
| Prognosis | Varies; benign conditions have good prognosis, malignant conditions depend on stage and type |
| Frequency | Common |
| Deaths | N/A |
Neck Mass is a medical condition characterized by an abnormal lump or swelling in the neck. It can be caused by a variety of conditions, ranging from benign (non-cancerous) to malignant (cancerous).
Causes
The causes of a neck mass can be categorized into congenital, inflammatory, neoplastic, and miscellaneous causes.
- Congenital causes include thyroglossal duct cyst, branchial cleft cyst, dermoid cyst, and cystic hygroma.
- Inflammatory causes include lymphadenitis, abscess, sialadenitis, and thyroiditis.
- Neoplastic causes include lymphoma, metastatic squamous cell carcinoma, thyroid carcinoma, and parotid gland tumor.
- Miscellaneous causes include lipoma, sebaceous cyst, hematoma, and aneurysm.
Symptoms
The symptoms of a neck mass can vary depending on the underlying cause. They may include:
- A visible lump or swelling in the neck
- Pain or discomfort in the neck
- Difficulty swallowing or breathing
- Changes in voice
- Unexplained weight loss
- Night sweats or fever
Diagnosis
The diagnosis of a neck mass involves a thorough medical history and physical examination. Additional tests may include:
- Blood tests
- Imaging studies such as ultrasound, CT scan, or MRI
- Biopsy of the mass
Treatment
The treatment of a neck mass depends on the underlying cause. It may include:
- Antibiotics for infections
- Surgery to remove the mass
- Radiation therapy or chemotherapy for cancerous masses
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Contributors: Prab R. Tumpati, MD