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An approach to neck masses in adults
1MBBS, Surgical Registrar, Eastern Health, Vic.
Background:
Neck masses in adults are a common presentation for head and neck cancer. Head and neck cancer accounts for 3.4% of all malignancies in Australia, and the incidence of oropharyngeal squamous cell carcinoma is rising. Early diagnosis is essential to prevent worsening prognosis.
Objective:
This article provides a brief overview of neck masses in adults, with a guideline to work-up and management in a primary care setting.
Discussion:
All neck masses should be considered malignant until proven otherwise. Detailed history and examination is crucial in the initial work-up. Fine-needle aspiration and computed tomography of the neck with contrast make up the mainstay of first-line investigation.
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