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A D V E R T I S E M E N T
A D V E R T I S E M E N T
The differential diagnosis of neck masses requires a systematic approach.
A D V E R T I S E M E N T
In children, a neck mass is most commonly a hyperplastic lymph node. Congenital conditions include thyroglossal duct cyst, branchial cleft cyst, cystic hygroma, hemangioma or desmoid. Thyroglossal duct cyst must be differentiated from ectopic thyroid gland before excision. Malignancy such as lymphoma, soft tissue tumors and thyroid cancer are rare.
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A D V E R T I S E M E N T
The Memorial Sloan Kettering classification of lymph node levels in the neck is shown (see neck anatomy). Level I includes submental and submandibular nodes. Level II is upper deep jugular and jugulodigastric nodes. Level III includes mid-jugular and jugulo-omohyoid. Level IV are lower deep jugular and deep supraclavicular nodes. Level V is the posterior triangle.
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This page was last modified on 11/18/2000.
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