Neck lumps

Differential diagnosis

  • Anterior triangle
    • LN – infection, lymphoma
    • Branchial cyst
    • Malignancy – others
    • Saliva gland
    • Parotid gland
  • Posterior triangle
    • LNs
    • Cystic hygroma
    • Cervical rib
    • Branchial cyst
    • Subclavian artery aneurysm
  • Midline
    • Thyroid
    • Thyroglossal cyst – moves with tongue

 

Data gathering

  • Red flags – weight loss, night sweats, lethargy
  • Others – recent URTI, thyroid
  • Examine – fixed, firm, tethered

 

Clinical management

  • Investigations
    • Ultrasound
  • Explanation
  • Treatment
    • Treat specific cause
  • Followup / Safety-net
    • Review in 6 weeks if LN swelling not resolved