Evaluation and Management of the Patient with a Neck Mass文档.pptVIP

下载本文档

0
0
约1.79万字
约 70页
2018-08-19 发布于湖北
举报
版权申诉

Evaluation and Management of the Patient with a Neck Mass文档.ppt

1、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。。
2、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
4、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
5、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
6、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
7、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

Evaluation and Management of the Patient with a Neck Mass文档

Lymphadenopathy Equivocal or suspicious FNAB in the pediatric nodal mass requires open excisional biopsy to rule out malignant or granulomatous disease Granulomatous lymphadenitis Infection develops over weeks to months Minimal systemic complaints or findings Common etiologies TB, atypical TB, cat-scratch fever, actinomycosis, sarcoidosis Firm, relatively fixed node with injection of skin Granulomatous lymphadenitis Typical M. tuberculosis More common in adults Posterior triangle nodes Rarely seen in our population Usually responds to anti-TB medications May require excisional biopsy for further workup Granulomatous lymphadenitis Atypical M. tuberculosis Pediatric age groups Anterior triangle nodes Brawny skin, induration and pain Usually responds to complete surgical excision or curettage Granulomatous lymphadenitis Cat-scratch fever (Bartonella) Pediatric group Preauricular and submandibular nodes Spontaneous resolution with or without antibiotics Granulomatous lymphadenitis Summary Extensive differential diagnosis Age of patient is important Accurate history and complete exam essential FNAB – invaluable diagnostic tool Possibility for malignancy in any age group Close follow-up and aggressive approach is best for favorable outcomes References Armstrong W, Giglio M. Is this lump in the neck anything to worry about? September 1998. Postgraduate Medicine. Schwetschenau E, Kelley D. The Adult Neck Mass. Sep 2002. American Family Physician. Underbrink M, Bailey B. Evaluation and Management of the Patient with a Neck Mass. /otoref/Grnds/NeckMass-200112/NeckMass2-2001 Metabolic disorders are rare causes of neck masses. Gout and tumoral calcium pyrophosphate dihydrate deposition disease have been reported to present as neck masses.20,21 Idiopathic conditions, such as inflammatory pseudotumor, Kimuras disease, and Castlemans disease, can also present with a neck mass.22–24 A neck mass may also be the presenting symptom of sarcoidosis.25 Kimuras disease is an unco