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A neck mass or neck lump is an ambiguous mass found in the neck area. There are many different possible causes, [ 1 ] including head and neck cancer [ 2 ] and congenital conditions like branchial anomalies and thyroglossal duct cysts .
This mass is normally referred to a fine needle aspiration biopsy (FNA) for investigation. FNA accuracy is very high and it is a process widely used in these cases. Other investigation methods include ultrasound imaging and nuclear scan. The ultrasound is a useful test to distinguish solid from cystic lesions and to identify calcifications. [4]
The indications to do FNAC are: nodules more than 1 cm with two ultrasound criteria suggestive of malignancy, nodules of any size with extracapsular extension or lymph nodes enlargement with unknown source, any sizes of nodules with history of head and neck radiation, family history of thyroid carcinoma in two or more first degree relatives ...
A poorly differentiated invasive left thyroid mass in a 58-year-old female patient. a Sagittal greyscale neck ultrasound shows a large hypoechoic lesion with macro-calcification and micro-calcification. b Sagittal colour Doppler ultrasound shows left internal jugular vein filling defect with detected internal vascularity suggestive of tumour ...
Ultrasound imaging of ATC lesions reveals a hypoechoic mass (appears dark on ultrasound) with invasion of the local structures and may help to better characterize the presence or absence of neck lymph node metastases. [2] If surgery is planned, however, then a contrast-enhanced computed tomography (CT) scan of the neck must be performed. [2]
It usually does not cause symptoms, but may leads to a mass in the neck that may compress the trachea and the esophagus. It is thought to be the result of either a failure of descent or a failure of involution of normal thymus tissue. It may be diagnosed with radiology, such as an ultrasound or magnetic resonance imaging. If it causes illness ...
Neck ultrasound. Most structures of the neck, ... and can help identify solid masses. [42] Ultrasound is an excellent method for the study of the penis, ...
Cervical thymic cyst is a very rare pathology that is often incidentally found due to its asymptomatic nature. The patient usually notices a neck mass that grows slowly which triggers them to see a clinician and be admitted to the hospital. [3] However, it can cause symptoms as it grows in size and compresses on other organs.