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Mikkel Kaltoft1, Mads Georg Stage1, Tobias Todsen1,2

  • 1Øre-næse-halskirurgisk og Audiologisk Afdeling, Københavns Universitetshospital - Rigshospitalet.

Ugeskrift for Laeger
|March 10, 2023
PubMed
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This review covers diagnosing and treating neck cysts, emphasizing ultrasound and biopsy. Lateral neck cysts in adults over 40 warrant further investigation due to potential malignancy.

Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Diagnostic Imaging

Background:

  • Congenital and acquired lesions can manifest as cystic neck masses.
  • Accurate diagnosis and appropriate treatment are crucial for managing neck cysts.
  • Cysts in specific locations or patient demographics may indicate higher risks.

Approach:

  • This review synthesizes current diagnostic and therapeutic strategies for neck cysts.
  • Diagnostic workup relies heavily on imaging and biopsy techniques.
  • Treatment modalities are tailored to cyst type, location, and patient factors.

Key Points:

  • Ultrasound and fine-needle aspiration biopsy are cornerstone diagnostic tools for neck cysts.
  • Lateral neck cysts in adults over 40 necessitate thorough evaluation for malignancy.

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  • Treatment options include aspiration, surgery, and sclerotherapy.

    • Conclusions:

    • Effective management of neck cysts requires a systematic diagnostic approach.
    • Sclerotherapy presents a viable treatment option for specific cystic lesions like thyroid nodules and lymphatic malformations.
    • Timely and accurate diagnosis improves patient outcomes for neck cyst management.