Neck masses differential diagnosis: Difference between revisions
Jump to navigation
Jump to search
Line 8: | Line 8: | ||
Differential diagnosis of neck masses include: | Differential diagnosis of neck masses include: | ||
{| | {| | ||
! rowspan="3" |Category | |||
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ||
! | |||
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology | ! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology | ||
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign | ! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign | ||
Line 17: | Line 19: | ||
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings | ! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings | ||
|- | |- | ||
! | |||
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Demography | ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Demography | ||
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |History | ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |History | ||
Line 25: | Line 28: | ||
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Imaging | ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Imaging | ||
|- | |- | ||
! | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Mass | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Mass | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pain | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pain | ||
Line 33: | Line 37: | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Others | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Others | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" | | !Congenital | ||
! align="center" style="background:#DCDCDC;" |'''Branchial cleft cyst''' | |||
! | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 52: | Line 58: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" | | ! | ||
! align="center" style="background:#DCDCDC;" |'''Thyroglossal duct cyst''' | |||
! | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 71: | Line 79: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" | | ! | ||
! align="center" style="background:#DCDCDC;" |'''Hemangioma''' | |||
! | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 90: | Line 100: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" | | ! | ||
! align="center" style="background:#DCDCDC;" |Vascular malformations | |||
! | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 109: | Line 121: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" | | ! | ||
! align="center" style="background:#DCDCDC;" |Lymphatic malformations | |||
! | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 128: | Line 142: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" | | ! | ||
! align="center" style="background:#DCDCDC;" |'''Laryngocele''' | |||
! | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 147: | Line 163: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" | | ! | ||
! align="center" style="background:#DCDCDC;" |'''Ranula''' | |||
! | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 166: | Line 184: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! | |||
!'''Teratoma''' | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
|- | |||
! | |||
!'''Dermoid cyst''' | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
|- | |||
! | |||
!'''Thymic cyst''' | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
|- | |||
!Category | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ||
! | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign | ||
Line 185: | Line 268: | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" | | !Inflammatory | ||
! align="center" style="background:#DCDCDC;" |'''Reactive viral lymphadenopathy''' | |||
! | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 204: | Line 289: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" | | ! | ||
! align="center" style="background:#DCDCDC;" |'''Bacterial lymphadenopathy''' | |||
!Tularemia | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 223: | Line 310: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! | |||
! align="center" style="background:#DCDCDC;" | | ! align="center" style="background:#DCDCDC;" | | ||
!Brucellosis | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 242: | Line 331: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! | |||
! align="center" style="background:#DCDCDC;" | | ! align="center" style="background:#DCDCDC;" | | ||
!Cat-scratch disease | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 261: | Line 352: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! | |||
! align="center" style="background:#DCDCDC;" | | ! align="center" style="background:#DCDCDC;" | | ||
!Actinomycosis | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 280: | Line 373: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! | |||
! align="center" style="background:#DCDCDC;" | | ! align="center" style="background:#DCDCDC;" | | ||
!Mycobacterial infections | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 299: | Line 394: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! | |||
! align="center" style="background:#DCDCDC;" | | ! align="center" style="background:#DCDCDC;" | | ||
!HIV | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 318: | Line 415: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" | | ! | ||
! align="center" style="background:#DCDCDC;" |'''Parasitic lymphadenopathy''' | |||
!Toxoplasma gondii | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 337: | Line 436: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" | | ! | ||
! align="center" style="background:#DCDCDC;" |Sarcoidosis | |||
! | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 356: | Line 457: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" | | ! | ||
! align="center" style="background:#DCDCDC;" |Castleman disease | |||
! | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 375: | Line 478: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" | | ! | ||
! align="center" style="background:#DCDCDC;" |Rosai-Dorfman disease | |||
! | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 394: | Line 499: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! | |||
!Kawasaki disease | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
|- | |||
!Category | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ||
! | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign | ||
Line 413: | Line 541: | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" | | !Neoplasm | ||
! align="center" style="background:#DCDCDC;" |'''primary thyroid tumor''' | |||
! | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 432: | Line 562: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" | | ! | ||
! align="center" style="background:#DCDCDC;" |'''Benign salivary gland neoplasm''' | |||
!pleomorphic adenoma | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 451: | Line 583: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! | |||
! align="center" style="background:#DCDCDC;" | | ! align="center" style="background:#DCDCDC;" | | ||
!Warthin's tumor | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 470: | Line 604: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! | |||
! align="center" style="background:#DCDCDC;" | | ! align="center" style="background:#DCDCDC;" | | ||
!lymphoepithelioma | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 489: | Line 625: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! | ! | ||
| | ! | ||
| | !oncocytoma | ||
| | ! | ||
| | ! | ||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
|- | |||
! | |||
! | |||
!monomorphic adenoma | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
|- | |||
! | |||
!'''Malignant salivary gland neoplasm''' | |||
!mucoepidermoid carcinoma | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
|- | |||
! | |||
! | |||
!adenoid cystic carcinoma | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
|- | |||
! | |||
! | |||
!adenocarcinoma | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
|- | |||
! | |||
! | |||
!salivary duct carcinoma | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
|- | |||
! | |||
! | |||
!squamous cell carcinoma | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
|- | |||
! | |||
!'''Paraganglioma''' | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
|- | |||
! | |||
!'''Schwannoma''' | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
|- | |||
! | |||
!'''Lymphoma''' | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
|- | |- | ||
! | ! | ||
!'''Lipoma''' | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
|- | |- | ||
! align="center" style="background:#DCDCDC;" | | ! | ||
! align="center" style="background:#DCDCDC;" |'''Metastatic head and neck carcinoma''' | |||
! | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 546: | Line 877: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
!Category | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ||
! | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign |
Revision as of 17:28, 14 January 2019
Neck masses Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Neck masses differential diagnosis On the Web |
American Roentgen Ray Society Images of Neck masses differential diagnosis |
Risk calculators and risk factors for Neck masses differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Differentiating neck masses from other Diseases
Differential diagnosis of neck masses include:
Category | Diseases | Etiology | Benign | Malignant | Clinical manifestation | Paraclinical findings | Gold standard diagnosis | Associated findings | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Demography | History | Symptoms | Signs | Lab findings | Histopathology | Imaging | |||||||||||||
Mass | Pain | Dysphagia | Mass exam | Skin changes | LAP | Others | |||||||||||||
Congenital | Branchial cleft cyst | ||||||||||||||||||
Thyroglossal duct cyst | |||||||||||||||||||
Hemangioma | |||||||||||||||||||
Vascular malformations | |||||||||||||||||||
Lymphatic malformations | |||||||||||||||||||
Laryngocele | |||||||||||||||||||
Ranula | |||||||||||||||||||
Teratoma | |||||||||||||||||||
Dermoid cyst | |||||||||||||||||||
Thymic cyst | |||||||||||||||||||
Category | Diseases | Etiology | Benign | Malignant | Demography | History | Mass | Pain | Dysphagia | Mass exam | Skin changes | LAP | Others | Lab findings | Histopathology | Imaging | Gold standard diagnosis | Associated findings | |
Inflammatory | Reactive viral lymphadenopathy | ||||||||||||||||||
Bacterial lymphadenopathy | Tularemia | ||||||||||||||||||
Brucellosis | |||||||||||||||||||
Cat-scratch disease | |||||||||||||||||||
Actinomycosis | |||||||||||||||||||
Mycobacterial infections | |||||||||||||||||||
HIV | |||||||||||||||||||
Parasitic lymphadenopathy | Toxoplasma gondii | ||||||||||||||||||
Sarcoidosis | |||||||||||||||||||
Castleman disease | |||||||||||||||||||
Rosai-Dorfman disease | |||||||||||||||||||
Kawasaki disease | |||||||||||||||||||
Category | Diseases | Etiology | Benign | Malignant | Demography | History | Mass | Pain | Dysphagia | Mass exam | Skin changes | LAP | Others | Lab findings | Histopathology | Imaging | Gold standard diagnosis | Associated findings | |
Neoplasm | primary thyroid tumor | ||||||||||||||||||
Benign salivary gland neoplasm | pleomorphic adenoma | ||||||||||||||||||
Warthin's tumor | |||||||||||||||||||
lymphoepithelioma | |||||||||||||||||||
oncocytoma | |||||||||||||||||||
monomorphic adenoma | |||||||||||||||||||
Malignant salivary gland neoplasm | mucoepidermoid carcinoma | ||||||||||||||||||
adenoid cystic carcinoma | |||||||||||||||||||
adenocarcinoma | |||||||||||||||||||
salivary duct carcinoma | |||||||||||||||||||
squamous cell carcinoma | |||||||||||||||||||
Paraganglioma | |||||||||||||||||||
Schwannoma | |||||||||||||||||||
Lymphoma | |||||||||||||||||||
Lipoma | |||||||||||||||||||
Metastatic head and neck carcinoma | |||||||||||||||||||
Category | Diseases | Etiology | Benign | Malignant | Demography | History | Mass | Pain | Dysphagia | Mass exam | Skin changes | LAP | Others | Lab findings | Histopathology | Imaging | Gold standard diagnosis | Associated findings |