Neck masses differential diagnosis: Difference between revisions
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{| | {| | ||
! rowspan="3" |Category | ! rowspan="3" |Category | ||
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ! colspan="2" 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 | ||
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! 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 | ||
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! 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 | ||
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! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Others | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Others | ||
|- | |- | ||
!Congenital | ! rowspan="10" |Congenital | ||
! align="center" style="background:#DCDCDC;" |'''Branchial cleft cyst''' | ! colspan="2" 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 58: | Line 54: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! | ! colspan="2" 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 79: | Line 73: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! | ! colspan="2" 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;" | | ||
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| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! | ! colspan="2" 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;" | | ||
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| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! | ! colspan="2" 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 142: | Line 130: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! | ! colspan="2" 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;" | | ||
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| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! | ! colspan="2" 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;" | | ||
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| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! | ! colspan="2" |'''Teratoma''' | ||
! | ! | ||
! | ! | ||
Line 205: | Line 187: | ||
! | ! | ||
|- | |- | ||
! | ! colspan="2" |'''Dermoid cyst''' | ||
! | ! | ||
! | ! | ||
Line 226: | Line 206: | ||
! | ! | ||
|- | |- | ||
! | ! colspan="2" |'''Thymic cyst''' | ||
! | ! | ||
! | ! | ||
Line 248: | Line 226: | ||
|- | |- | ||
!Category | !Category | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ! colspan="2" 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 | ||
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! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings | ||
|- | |- | ||
!Inflammatory | ! rowspan="12" |Inflammatory | ||
! align="center" style="background:#DCDCDC;" |'''Reactive viral lymphadenopathy''' | ! colspan="2" 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;" | | ||
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| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! colspan="2" |HIV | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | |||
! | ! | ||
! align="center" style="background:#DCDCDC;" |'''Bacterial lymphadenopathy''' | ! | ||
! | |||
|- | |||
! rowspan="5" align="center" style="background:#DCDCDC;" |'''Bacterial lymphadenopathy''' | |||
!Tularemia | !Tularemia | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 310: | Line 304: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
!Brucellosis | !Brucellosis | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 331: | Line 323: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
!Cat-scratch disease | !Cat-scratch disease | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 352: | Line 342: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
!Actinomycosis | !Actinomycosis | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
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| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
!Mycobacterial infections | !Mycobacterial infections | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
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| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |'''Parasitic lymphadenopathy''' | ! align="center" style="background:#DCDCDC;" |'''Parasitic lymphadenopathy''' | ||
!Toxoplasma gondii | !Toxoplasma gondii | ||
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| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! | ! colspan="2" 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;" | | ||
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| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! | ! colspan="2" 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;" | | ||
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| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! | ! colspan="2" 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;" | | ||
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| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! | ! colspan="2" |Kawasaki disease | ||
! | ! | ||
! | ! | ||
Line 521: | Line 477: | ||
|- | |- | ||
!Category | !Category | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ! colspan="2" 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 | ||
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! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings | ||
|- | |- | ||
!Neoplasm | ! rowspan="16" |Neoplasm | ||
! align="center" style="background:#DCDCDC;" |'''primary thyroid tumor''' | ! colspan="2" 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 562: | Line 516: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! | ! rowspan="10" align="center" style="background:#DCDCDC;" |'''Salivary gland neoplasm''' | ||
!pleomorphic adenoma | !pleomorphic adenoma | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | + | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 583: | Line 536: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
!Warthin's tumor | !Warthin's tumor | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | + | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 604: | Line 555: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
!lymphoepithelioma | !lymphoepithelioma | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | + | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 625: | Line 574: | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
!oncocytoma | !oncocytoma | ||
! | ! | ||
! | !+ | ||
! | ! | ||
! | ! | ||
Line 646: | Line 593: | ||
! | ! | ||
|- | |- | ||
!monomorphic adenoma | !monomorphic adenoma | ||
! | ! | ||
! | !+ | ||
! | ! | ||
! | ! | ||
Line 667: | Line 612: | ||
! | ! | ||
|- | |- | ||
!mucoepidermoid carcinoma | !mucoepidermoid carcinoma | ||
! | ! | ||
! | ! | ||
! | !+ | ||
! | ! | ||
! | ! | ||
Line 688: | Line 631: | ||
! | ! | ||
|- | |- | ||
!adenoid cystic carcinoma | !adenoid cystic carcinoma | ||
! | ! | ||
! | ! | ||
! | !+ | ||
! | ! | ||
! | ! | ||
Line 709: | Line 650: | ||
! | ! | ||
|- | |- | ||
!adenocarcinoma | !adenocarcinoma | ||
! | ! | ||
! | ! | ||
! | !+ | ||
! | ! | ||
! | ! | ||
Line 730: | Line 669: | ||
! | ! | ||
|- | |- | ||
!salivary duct carcinoma | !salivary duct carcinoma | ||
! | ! | ||
! | ! | ||
! | !+ | ||
! | ! | ||
! | ! | ||
Line 751: | Line 688: | ||
! | ! | ||
|- | |- | ||
!squamous cell carcinoma | !squamous cell carcinoma | ||
! | ! | ||
! | ! | ||
! | !+ | ||
! | ! | ||
! | ! | ||
Line 772: | Line 707: | ||
! | ! | ||
|- | |- | ||
! | ! colspan="2" |'''Paraganglioma''' | ||
! | ! | ||
! | ! | ||
Line 793: | Line 726: | ||
! | ! | ||
|- | |- | ||
! | ! colspan="2" |'''Schwannoma''' | ||
! | ! | ||
! | ! | ||
Line 814: | Line 745: | ||
! | ! | ||
|- | |- | ||
! | ! colspan="2" |'''Lymphoma''' | ||
! | ! | ||
! | ! | ||
Line 835: | Line 764: | ||
! | ! | ||
|- | |- | ||
! | ! colspan="2" |'''Lipoma''' | ||
! | ! | ||
! | ! | ||
Line 856: | Line 783: | ||
! | ! | ||
|- | |- | ||
! | ! colspan="2" 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 878: | Line 803: | ||
|- | |- | ||
!Category | !Category | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ! colspan="2" 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 17:34, 14 January 2019
Neck masses Microchapters |
Diagnosis |
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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 | ||||||||||||||||||
HIV | |||||||||||||||||||
Bacterial lymphadenopathy | Tularemia | ||||||||||||||||||
Brucellosis | |||||||||||||||||||
Cat-scratch disease | |||||||||||||||||||
Actinomycosis | |||||||||||||||||||
Mycobacterial infections | |||||||||||||||||||
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 | ||||||||||||||||||
Salivary gland neoplasm | pleomorphic adenoma | + | |||||||||||||||||
Warthin's tumor | + | ||||||||||||||||||
lymphoepithelioma | + | ||||||||||||||||||
oncocytoma | + | ||||||||||||||||||
monomorphic adenoma | + | ||||||||||||||||||
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 |