Differential diagnosis and management of neck lumps

Simó, Ricard; Leslie, Anna

doi:10.1053/j.mpsur.2006.07.006

Cited by 6 publications

(10 citation statements)

References 3 publications

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“…De May has summarized the advantages of FNAC with the acronym SAFE means Simple, Accurate, Fast and Economical [5]. The diagnostic yield of FNAC can be improved if it is accompanied by radiological guidance like ultrasonography and computed tomography scan [6].…”

Section: Introductionmentioning

confidence: 99%

Study of fine needle aspiration cytology of lymphadenopathy in tertiary care centre of Ahmedabad, Gujarat

Sharma¹,

Dharaiya

2018

Trop J Pathol Microbiol

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Introduction: Lymph nodes are a site for organized collections of lympho-reticular tissue and are pink gray bean shaped encapsulated organs. Lymphadenopathy is one of the most common clinical presentations of patients attending the outpatient department. Lymph nodes are among the commonly aspirated organs for diagnostic purposes. Fine-needle aspiration cytology (FNAC) is a clinical technique used to obtain cells, tissues and/or fluid through a thin needle attached with disposable syringe for the purpose of diagnosis of masses. Aims and Objectives: The aims of this study is to find out the frequency of lymphadenopathy, etiological factors and cyto-morphologial features in different age groups and incidence of various lymph node diseases on fine-needle aspiration cytology (FNAC) and to analyze the utility and diagnostic importance of FNAC in lymph node diseases. Materials and Methods: The present study was carried out in Department of Pathology at GMERS Medical College, Sola-Ahmedabad, Gujarat a Tertiary Care Centre. A total of 268 patients of all age groups underwent FNAC of enlarged lymph nodes during this study period. Results: Tuberculous lymphadenitis was recorded as the most common presentation of lymphadenopathy in the cervical region. Male to female ratio is 1:1.13. Most common causes of lymphadenopathy in 11-40 years age group was tubercular lymphadenitis and metastatic carcinoma in patients >50 years of age. Conclusion: FNAC of lymph nodes is an excellent first line investigation to determine the nature of lesion. It is quick, safe, minimally invasive, and reliable and is readily accepted by the patient.

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Section: Introductionmentioning

confidence: 99%

Study of fine needle aspiration cytology of lymphadenopathy in tertiary care centre of Ahmedabad, Gujarat

Sharma¹,

Dharaiya

2018

Trop J Pathol Microbiol

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“…Other systemic symptoms such as night sweats or weight loss may prompt the consideration of lymphoma, which often presents as multiple matted nodes. Metastatic lymphadenopathy also needs to be considered, especially in patients over 40, and these often present as lymphadenopathy fixed to surrounding structures. Metastatic disease arising in the neck may stem from tumours within the oral cavity, salivary glands, thyroid or skin of the head and neck.…”

Section: Discussionmentioning

confidence: 80%

“…In young patients, the most common cause for a neck lump is an inflammatory cause, usually associated with a recent upper respiratory tract infection. However, cervical lymphadenitis of inflammatory origin is usually acute in onset and resolves in 2–6 weeks. Developmental causes also need to be considered, such as branchial cysts, which usually present in the upper third of the neck anterior to the sternocleidomastoid muscle.…”

Section: Discussionmentioning

confidence: 99%

“…However, cervical lymphadenitis of inflammatory origin is usually acute in onset and resolves in 2–6 weeks. Developmental causes also need to be considered, such as branchial cysts, which usually present in the upper third of the neck anterior to the sternocleidomastoid muscle. Other systemic symptoms such as night sweats or weight loss may prompt the consideration of lymphoma, which often presents as multiple matted nodes.…”

Section: Discussionmentioning

confidence: 99%

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Case report: primary mediastinal germ cell tumour initially presenting as level IV cervical lymphadenopathy

et al. 2019

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“…If a neoplastic lesion is diagnosed, computed tomography (CT) scanning, magnetic resonance imaging (MRI) and positron emission tomography (PET) scanning alone or a combination may be required to determine the exact anatomical location, extent and radiological staging of the lesion. 25…”

Section: Discussionmentioning

confidence: 99%

Benign neck swellings: a clinico-radio-pathological study

Irfana

Rai

Somayaji

2019

Int J Otorhinolaryngol Head Neck Surg

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Background: The present study aimed to know the common pathologies presenting as neck swellings in our region and their clinical, radiological, and cytopathological correlation in order to understand the nature of the lesion and accuracy of the diagnostic tools in finding a definitive diagnosis.Methods: Patients presenting with neck swelling to the ENT department of a tertiary care centre in Mangalore between June 2013 to July 2018 were included in the study based on retrospective and prospective sampling. Appropriate cytolopathological and radiological investigations were done and analyzed. Results: Out of 160 cases analyzed histopathology diagnosed 86.9% as benign and 13.1% as malignant. Radiologically 94.9% were diagnosed to be benign and 5.6% malignant whereas in cytological investigation 89.4% were diagnosed as benign and 6.9% as malignant while the remaining 3.8% cases were cytologically inconclusive. Intra operatively 6.9% cases had features of malignancy and rest 93% were benign. Thyroid was the most common benign neck swelling (73.2%) followed by cervical lymphadenopathy (6.9%) and thyroglossal cyst (5.6%).Conclusions: Discrepancy in clinico-radio-cytopathological correlation was highest in cases of thyroid swelling (more so in case of solitary thyroid nodule). None of the pre-operative investigations for neck swellings is 100% specific or definitive in diagnosing a benign from a malignant lesion in the neck.

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Differential diagnosis and management of neck lumps

Cited by 6 publications

References 3 publications

Study of fine needle aspiration cytology of lymphadenopathy in tertiary care centre of Ahmedabad, Gujarat

Study of fine needle aspiration cytology of lymphadenopathy in tertiary care centre of Ahmedabad, Gujarat

Case report: primary mediastinal germ cell tumour initially presenting as level IV cervical lymphadenopathy

Benign neck swellings: a clinico-radio-pathological study

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