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Otekline na vratu = Neck massesFischinger, JanezA short review of the most common diseases, which appear as neck masses and diagnostic steps for their management are discussed. In children and young adults neck masses are usual consequences of ... inflammatory adenopathy. Such patients are treated by a general practitioner family doctor. Patients with enlarged cervical lymph nodes and with a lack of response to antibiotic treatment exceeding 3 to 4 weeks should be referred to an ENT surgeon. Endoscopic, fiberoptic examination often reveals the cause of the neck mass. Major part of the abscesses, congenital and developmental anomalies, benign and malignant tumours of the cervicofacial region of the head and neck can be treated surgically. If the clinical evaluation of the neck mass does not lead to a definite diagnosis, a fine needle biopsy and examination by specialist for infectious diseases should be considered. When considering a metastasis, there is a need for the localization of primary tumour. If a systemic disease is diagnosed, the patient should be referred to an appropriate specialist. If the cause of neck mass remains unknown and in the case where a definite diagnosis by a histopathologist is needed (limfoma), an open biopsy should be considered. Open biopsy should only be performed by a physician that is capable of managing the complications which may arise, and is trained in surgical removal of cervical lymph nodes.Source: Novosti s področja ortopedije, onkologije/ginekologije in otorinolaringologije : [suplement] (str. 248-253)Type of material - conference contributionPublish date - 2001Language - slovenianCOBISS.SI-ID - 13384665
Author
Fischinger, Janez
Topics
Neck |
Lymphadenitis |
Lymphatic metastasis |
Head and neck neoplasms |
Physical examination |
Palpation
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Fischinger, Janez | 07479 |
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