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Neck mass

  • Common ddx

    • lymphadenopathy (reactive, mono), lipoma, epidermoid inclusion cyst, folliculitis, abscess, goiter (hyperthyroidism, hypothyroidism), thyroglossal duct cyst
  • Serious ddx

    • Ludwig's angina, thyroid cancer, laryngeal cancer, salivory gland tumor, lymphoma
  • Labs

    • CBC
    • TSH
    • CXR if suspect sarcoid
    • thyroid scan if suspect cancer, f/u biopsy if cold nodule
    • lymph node biopsy if suspect malignancy, sarcoid
    • CT (or ultrasound) if suspect thyroglossal duct cyst
  • Other ddx

    • branchial cleft cyst, hemangioma, Laryngocele, Ranula, dermoid cyst, Thymic cyst, HIV lymphadenopathy, infectious disease, sarcoidosis

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    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.