Modern Approach to the Neck Mass

Gabriela Heslop; Christopher L Oliver

doi:10.1016/j.suc.2022.01.002

Modern Approach to the Neck Mass

Surg Clin North Am. 2022 Apr;102(2S):e1-e6. doi: 10.1016/j.suc.2022.01.002.

Authors

Gabriela Heslop¹, Christopher L Oliver²

Affiliations

¹ Department of Otolaryngology - Head and Neck Surgery, University of Colorado School of Medicine, 12631 East 17th Avenue Mail Stop B205, Aurora, CO 80045, USA.
² Department of Otolaryngology - Head and Neck Surgery, University of Colorado School of Medicine, Aurora, CO, USA. Electronic address: christopher.oliver@cuanschutz.edu.

PMID: 35397871
DOI: 10.1016/j.suc.2022.01.002

Abstract

Neck mass is a common first sign of malignancy in adult patients. Timely diagnosis can prevent disease progression. Initial evaluation of a neck mass includes creating a plan for obtaining further diagnostic information such as through imaging and tissue diagnosis. Fine-needle aspiration (FNA) can be done with or without ultrasound (US) guidance and is commonly done as an alternative to core biopsy and open biopsy. The accuracy of US-guided FNA has been shown to supersede that of palpation-guided FNA. Moreover, in-office US-guided FNA has become more accessible over time and can improve time to diagnosis.

Keywords: Cancer; Fine-needle aspiration; In-office ultrasound; Neck mass; Ultrasound-guided FNA.

Publication types

Review

MeSH terms

Adult
Biopsy, Fine-Needle / methods
Humans
Image-Guided Biopsy*
Ultrasonography