Eren Tan1, Joseph Jaya2. 1. MBBS, Surgical Registrar, Eastern Health, Vic. 2. MBBS, Surgical Registrar, Monash Health, Vic.
Abstract
BACKGROUND: Neck masses in adults are a common presentation for head and neck cancer. Head and neck cancer accounts for 3.4% of all malignancies in Australia, and the incidence of oropharyngeal squamous cell carcinoma is rising. Early diagnosis is essential to prevent worsening prognosis. OBJECTIVE: This article provides a brief overview of neck masses in adults, with a guideline to work-up and management in a primary care setting. DISCUSSION: All neck masses should be considered malignant until proven otherwise. Detailed history and examination is crucial in the initial work-up. Fine-needle aspiration and computed tomography of the neck with contrast make up the mainstay of first-line investigation.
BACKGROUND: Neck masses in adults are a common presentation for head and neck cancer. Head and neck cancer accounts for 3.4% of all malignancies in Australia, and the incidence of oropharyngeal squamous cell carcinoma is rising. Early diagnosis is essential to prevent worsening prognosis. OBJECTIVE: This article provides a brief overview of neck masses in adults, with a guideline to work-up and management in a primary care setting. DISCUSSION: All neck masses should be considered malignant until proven otherwise. Detailed history and examination is crucial in the initial work-up. Fine-needle aspiration and computed tomography of the neck with contrast make up the mainstay of first-line investigation.