c l i n i c a l f o l i o s : n a r r a t i v e





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Differential Diagnosis of Neck Masses: 4

A D V E R T I S E M E N T

   
 

Inflammatory conditions such as the ones listed can cause regional lymphadenopathy. However, in an adult, Hayes Martin's dictum is good to keep in mind: An asymptomatic solitary lateral neck mass in an adult is metastatic disease until proven otherwise.      

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Differential Diagnosis of Neck Masses: 5

A D V E R T I S E M E N T

   
 

Benign non-inflammatory neck masses include glandular (see submandibular salivary gland resectionthyroid cyst), vascular, neurogenic (see cervical mass at carotid bifurcation), skin and subcutaneous abnormalities or growths.     

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Differential Diagnosis of Neck Masses: 6

A D V E R T I S E M E N T

   
 

The rule of 80s for solitary adult neck masses excluding thyroid is that 80% of them are malignant, and 80% of malignancies are metastatic. 80% of these come from a primary above the clavicle and 80% of them are squamous carcinoma.       

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This page was last modified on 11/18/2000.