Neck Masses

We divide neck masses into benign and malignant masses.
Benign formations:
Congenital (such as triglossal, branchial cyst, lymphangioma)
Lymph node inflammation due to infection (tbc, aids, toxo, infectious mononucleosis, cat scratch, severe tonsillitis, skin infection, aphtha, etc.)

The neck is very rich in lymph. It drains into different groups of lymph nodes in the lips, face, salivary glands, tongue, larynx and parts of it, pharynx, tonsils, nasal area and nose neck.
Neck lymph groups are divided into superficial and deep groups and front, middle and back neck. are separated. In any infection, the lymph nodes belonging to that area first enlarge and appear as a mass in the neck. After diagnosing the lymph node, the primary lesion causing its enlargement is searched.

Malignant formations:
1. Metastatic neck masses: lymph node enlargements in the neck may not always be due to infection.! !!!!!!The first place where head and neck cancers metastasize is the lymph nodes in the neck.!!!!!

Those that do not shrink, grow larger, and are more than 1.5 cm in size on CT or MRI. Lymph node enlargements must be evaluated carefully. A complete ENT examination should be performed and the primary tumor should be investigated.

Hogkin or non-hogkin lymphomas; It should be considered in cases of enlargement of many lymph nodes that do not have a primary focus in the neck.

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