Burun Kulak Acil Durumlar Hastalıklar Tıbbi Birimler

The general definition of a neck mass is any abnormal enlargement, swelling, or growth from the level of the base of skull to the clavicles.

A neck mass has a very long differential diagnosis that changes depending upon the patient’s age and risk factors.

The etiology of a neck mass can usually be determined from a good history. The goal is to differentiate among inflammatory, infectious, neoplastic, congenital, and traumatic causes. Besides duration, other important historical points include recent history of upper respiratory infections, history of cat scratches, exposure to tuberculosis, HIV risk factors, and alcohol/tobacco use.

In case of neck masses, a complete head and neck examination is indicated and is specifically directed to look for a site of infection and/or primary malignancy. Specifically, examine the mass for location, firmness, mobility, skin involvement, size, number, and tenderness. Some laboratory investigations may be obtained including complete blood count, sedimentation, tomography.

The goal of initial management is to ensure a diagnosis and treat the underlying problem.

If an infectious etiology is considered, a trial of antibiotics is indicated for at least 10 days. If persistant after treatment , tomography and needle biopsy is indicated.