Paediatric neck lumps: An approach for the primary physician

Paediatric cervical masses are a common presentation in general practice causing significant parental anxiety and a potential diagnostic dilemma. While these masses are commonly benign, a broad array of diagnostic possibilities exist. Sound knowledge of relevant anatomy and asystematic approach in history, examination and investigations are crucial to ensure appropriate assessment and management.

The aims of this article are to review thecommon and red flag causes of paediatric neck masses and to provide apragmatic approach to assessment and management in general practice.

While paediatric neck lumps encountered in general practice are most commonly benign, a number of aetiologies require further investigation and aggressive management. A focused history and examination is crucial to ensure red flag conditions are not missed while avoiding unwarranted investigation and parental anxiety.