October 7, 2022 Cervical masses appear as a swelling, commonly called a ' lump ', which appears in the neck . In children, most masses in neck region have an inflammatory origin , usually associated with bacterial or viral infections, or are of congenital origin. On the contrary, in adults, a higher percentage of neck masses is associated with tumoral pathology related to metastasis of otorhinolaryngology tumors (larynx, pharynx, oral cavity, salivary glands, thyroid) or the lymphatic system (lymphoma). Cervical masses of benign origin include dermoid cysts, branchial cysts, thyroglossal duct cysts, lymphangiomas or hemangiomas. Cervical masses must be subject to medical observation in order to make an accurate diagnosis and appropriate treatment. When to see an otolaryngologist Anyone who notices a mass in the neck , especially when is a smoker or a regular consumer of alcoholic beverages, when there is hoarseness or persistent pain to swallow, should seek the care of an otolaryngologist. In addition to the otorhinolaryngological examination, the diagnosis is aided by imaging tests such as ultrasound, computed tomography, magnetic resonance, among others. When possible, aspiration biopsy with subsequent anatomopathological study is very useful for the final diagnosis. The targeted treatment of neck masses , if necessary, may include different drug, surgical or radiotherapy modalities. This article was written by the Hospital da Luz otorhinolaryngology team. The content published in the Health Guide is intended for the general public and is provided for informational and educational purposes only. It does not replace individual medical assessment, diagnosis, or personalized clinical advice from a qualified healthcare professional. The content is produced or reviewed by physicians and other healthcare professionals at Hospital da Luz and is based on the knowledge available at the time of publication or the most recent update, as indicated at the beginning of each item.
