Morales-Cadena M, Sanjurjo-Martínez JL

Language: Spanish
References: 9
Page:
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ABSTRACT

Introduction. Most of neck masses counts with a specific cause. These masses appear in specific sites depending on the age group, which allows a systematic boarding to establish a diagnosis and, as well, a plan of handling for each case. Objective. To determine the initial symptomatology and form of presentation, as well as the exploratory characteristics in patients with masses in neck. Methods. A retrospective study was made in a period of five years that included patients with masses in neck valued as far as increase of volume, size, location, time of evolution, local symptoms, general symptoms and histopathologic diagnosis. Results. Eighty files were evaluated (69% of women and 31% of men with an average age of 51.4 years). In the evaluation, they were observed: increase of volume (80%), incidental data (20%), masses in the previous triangle (57%), submandibular location (25%), in parotid region (12%) and later triangle (4%). Also: movable masses (40%), nonmovable masses (44%), with soft consistency (65%), related to adenomegalias (24%), local symptoms (19%), general symptoms (26%), painful masses (29%), pathology in gland thyroid (45%), in submandibular gland (21%), in parotid (12%), in parathyroid (8%), in locations different from the previous ones (4%). Finally: benign tumor pathology (52%), malignant tumor pathology (9%), inflammatory (17%), congenital (10%) and infectious (5%).

REFERENCES

1. Sanderson RJ, Ironside JAD. Squamous cell carcinomas of the head and neck. BMJ 2003; 325: 822-7.

2. Schwetschenau E, Kelley DJ. The adult neck mass. Am Fam Physician 2002; 66 (5): 831-8.

3. McGuirt WF. The neck mass. Med Clin North Am 1999; 83 (1): 219-34.

4. Mandell DL. Head and neck anomalies related to the branchial apparatus. Otolaryngol Clin North Am 2000; 33 (6): 1309-32.

5. Gleeson M, Herbert A, Richards A. Management of lateral neck masses in adults. BMJ 2000; 320 (7248): 1521-4.

6. Kim N, Lavertu P. Evaluation of a thyroid nodule. Otolaryngol Clin North Am 2003; 36 (1): 17-33.

7. Rice DH. Chronic inflammatory disorders of the salivary glands. Otolaryngol Clin North Am 1999; 32 (5): 813-8.

8. Ammari FF, Bani Hani AH, Ghariebeh KI. Tuberculosis of the lymph glands of the neck: a limited role for surgery. Otolaryngol Head Neck Surg 2003; 128 (4): 576-80.

9. Dolan RW, Vaughan CW, Fuleihan N. Symptoms in early head and neck cancer: an inadequate indicator. Otolaryngol Head Neck Surg 1998; 119 (5): 463-7.