Clinical Evaluation of Swellings in the Neck

Slaughter, Danely P.; Majarakis, James D.; Southwick, Harry W.

doi:10.1016/s0039-6109(16)34780-6

Cited by 22 publications

(4 citation statements)

References 1 publication

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“…However, one half of asymmetrical head and neck masses in adults are reported to be malignant, either primary (usually lymphoma) or secondary (usually carcinoma). [7] Earlier, incisional or excisional biopsy used to be the only way of diagnosis which was associated with its inherited surgical and anaesthetic complications. To avoid these complications, FNAC was introduced in the early 20 th century.…”

Section: Discussionmentioning

confidence: 99%

Fine Needle Aspiration Cytology versus Histopathological Examination in Head and Neck Lesions

Saraf¹,

Gupta²,

Manhas³

et al. 2016

IOSR

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Section: Discussionmentioning

confidence: 99%

Fine Needle Aspiration Cytology versus Histopathological Examination in Head and Neck Lesions

Saraf¹,

Gupta²,

Manhas³

et al. 2016

IOSR

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“…üzerindeki, özellikle hassasiyet göstermeyen her kitle ileri tetkik ve izlem veya cerrahi tedavi gerektiren bir malignansi olasılığı gözönünde bulundurularak değerlendirilmelidir. (1,13,15,18). Özellikle ileri yaşlarda, kısa zaman önce ortaya çıkan, hızlı büyüyen, ağrısız, sert kitleler maligniteyi düşündürür.…”

Section: Discussionunclassified

“…Boyunda kitlelerin etiyolojik çalışmalarında farklı sonuçlar bildirilmiştir (1,6,15). Sloughter ve arkadaşlarına (18) göre boyun kitlelerinin yarısından çoğu neoplastik kitlelerdir. Bizim serimizde de bu oran % 50.9'dur.…”

Section: Discussionunclassified

Boyun Ki̇tleleri̇

Can;AKYOL¹

1995

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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Tumours İn NeckTumour in the neck is a commoıı pathological condition, that can be diagnosed by physicians from different branches of medicine. A neck lump must be considered a malignant tumor unless proven otherwise and the primary site of a possible metastasis must be searched by means of a complete otolarvngologic examination before a diagnostic biopsy is performed. In our experience 51,3 % of the patient's neck tumours were neoplastic. 33 % were infectious and 14.5 % were kongenital in origin. Patients with neck lumps (n : 330), that were treated in our clinic in a time period of 6 years were presented and the subject was discussed.

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“…Historically, the adult neck mass was assumed to be cancer. In the 1950s, Martin and Romieu 6 and Slaughter et al 7 separately published articles on adult neck masses, concluding that “most are metastatic neoplastic disease.” 7 The 2017 American Academy of Otolaryngology–Head and Neck Surgery Foundation (AAO‐HNSF) Clinical Practice Guideline: Evaluation of the Neck Mass in Adults states that “most persistent neck masses in adults are neoplasms. Malignant neoplasms far exceed any other etiology of adult neck mass.” 8 Clinicians experienced in head and neck cancer tend to recognize adult neck mass patients with malignancy based on clinical gestalt.…”

mentioning

confidence: 99%

The Adult Neck Mass: Predictors of Malignancy

Kshirsagar

Anderson

Boeckermann

et al. 2021

Otolaryngol.--head neck surg.

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Objective Distinguishing benign from malignant adult neck masses can be challenging because data to guide risk assessment are lacking. We examined patients with neck masses from an integrated health system to identify patient and mass factors associated with malignancy. Study Design Retrospective cohort. Setting Kaiser Permanente Northern California. Methods The medical records of adults referred to otolaryngology in 2017 for a neck mass were evaluated. Bivariate and multivariable logistic regression analyses were performed. Results Malignancy was found in 205 (5.0%) of the cohort’s 4103 patients. Patient factors associated with malignancy included sex, age, and race/ethnicity. Males had more than twice the odds of malignancy compared with females (adjusted odds ratio [aOR] = 2.38). Malignancy rates increased with age, ranging from 2.1% for patients younger than 40 years to 8.4% for patients 70 years or older. White non-Hispanic patients had 1.75 times the risk of malignancy compared with patients of other race/ethnicities. The percentage of patients with malignancy increased with increasing minimum mass dimension, from 3.0% in patients with mass size <1 cm to over 31% in patients with mass sizes 2 cm or larger ( P < .0001). Imaging-based mass factors most highly predictive of malignancy included larger minimum mass dimension (≥1.5 cm vs <1.5 cm: aOR = 3.87), multiple masses (2 or more vs 1: aOR = 5.07), and heterogeneous/ill-defined quality (aOR = 2.57). Conclusion Most neck masses referred to otolaryngology were not malignant. Increasing age, male sex, white non-Hispanic ethnicity, increasing minimum mass dimension, multiple neck masses, or heterogeneous architecture/ill-defined borders were associated with malignancy.

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Clinical Evaluation of Swellings in the Neck

Cited by 22 publications

References 1 publication

Fine Needle Aspiration Cytology versus Histopathological Examination in Head and Neck Lesions

Fine Needle Aspiration Cytology versus Histopathological Examination in Head and Neck Lesions

Boyun Ki̇tleleri̇

The Adult Neck Mass: Predictors of Malignancy

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