Evaluating the adult patient with a neck mass

Tara L. Rosenberg, Jimmy J Brown, Gina D. Jefferson

Research output: Contribution to journalReview article

15 Citations (Scopus)

Abstract

The objective of this article is to provide the internist with general considerations when confronted with an adult patient presenting with a neck mass. A thorough gathering of historical information and a complete physical examination are crucial in developing a differential diagnosis for these patients. Specifically, the location of the mass, its time of onset, and duration are important because of the high likelihood of neoplastic processes in patients older than 40 years. The young adult patient has an increased incidence of inflammatory, congenital, and traumatic processes as causes of their neck mass, but again, neoplasms are not out of the realm of possibility. Judicious use of imaging studies, namely computed tomography scanning with contrast, is a valuable adjunct to the physical examination. Other than infectious etiology, referral to an otolaryngologist is frequently warranted to obtain a definitive diagnosis for the development of an appropriate treatment plan, which is predominantly surgical.

Original languageEnglish (US)
Pages (from-to)1017-1029
Number of pages13
JournalMedical Clinics of North America
Volume94
Issue number5
DOIs
StatePublished - Sep 1 2010

Fingerprint

Neck
Physical Examination
Neoplastic Processes
Young Adult
Differential Diagnosis
Referral and Consultation
Tomography
Incidence
Neoplasms
Therapeutics

Keywords

  • Adult
  • Cervical lymphadenopathy
  • Differential diagnosis
  • Neck mass

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Rosenberg, T. L., Brown, J. J., & Jefferson, G. D. (2010). Evaluating the adult patient with a neck mass. Medical Clinics of North America, 94(5), 1017-1029. https://doi.org/10.1016/j.mcna.2010.05.007

Evaluating the adult patient with a neck mass. / Rosenberg, Tara L.; Brown, Jimmy J; Jefferson, Gina D.

In: Medical Clinics of North America, Vol. 94, No. 5, 01.09.2010, p. 1017-1029.

Research output: Contribution to journalReview article

Rosenberg, TL, Brown, JJ & Jefferson, GD 2010, 'Evaluating the adult patient with a neck mass', Medical Clinics of North America, vol. 94, no. 5, pp. 1017-1029. https://doi.org/10.1016/j.mcna.2010.05.007
Rosenberg, Tara L. ; Brown, Jimmy J ; Jefferson, Gina D. / Evaluating the adult patient with a neck mass. In: Medical Clinics of North America. 2010 ; Vol. 94, No. 5. pp. 1017-1029.
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