The neck glands are a part of the immune system called the lymphatic system, which has spread to almost every part of the body.
is part of it. They are found in groups in different regions. Their number is around 200-300 in height.
They fight against foreign formations such as infection and cancer in the body. During this struggle
they get bigger. The reason for this is the increase in the number of warrior cells (lymphocyte-antibody). Usually 1 cm
up to diameter can be considered normal. Older ones should be followed closely.
In the neck, under the chin, in front and behind the ears, on the midline and sides of the neck, the largest muscle in the neck
They are grouped at the top, middle, and bottom. Any part of the head or neck that has the potential to harm the body.
If there is an event, these glands become larger. Most of the cancers try to spread through the lymphatic ways and last for a long time.
they are attached to the neckbands. In fact, this also applies to other parts of the body. Generally
The lymph nodes of the region around the cancer are involved. Then it spreads widely.
In a patient presenting with a mass in the neck, first of all, the age of the patient and the location of the mass are very important. in children
While infections are usually at the forefront, cancer should be considered in those over 40 years of age and research in this direction should be carried out.
should do. It should not be confused with diseases of the thyroid gland (goiter, etc.) located in the midline of the neck.
How to Make a Distinction?
In those caused by infection, the following is often present.
1) Having pain
2) It appeared recently
3) Redness of the overlying skin
4) The source of infection being visible (tonsils, adenoids, sinusitis, mouth, etc.)
5) Being soft on examination
Possible features in those of cancer origin
1) Patient’s age (over 40)
2) Existence for Weeks-Months
3) No pain
4) Appears to be adhered to the skin on examination, being hard
5) Feeling more than one rubbery gland that seems to stick together (may be lymphoma)
6) Being at the lower level of the ear
7) The patient’s history of smoking, alcohol use
Non-healing wounds in ENT areas (not essential)
Adults with systemic diseases such as diabetes, those receiving immunosuppressive therapy
It should be noted that the infection can spread more quickly.
A detailed examination of the ENT physician is required. If infection is predicted, drug treatment is given and followed closely.
If necessary, blood and radiological examinations are requested. If a tumor is considered, it is possible that it may originate.
places are thoroughly inspected. Head and neck radiological examinations are requested. Biopsy from possible exit sites
is taken. Fine-needle biopsy can also be performed on the top of the mass, but biopsy by piece removal
should not be done. According to the results of the examination, surgery or other treatment methods are applied. Sometimes
If sufficient information cannot be obtained from the results of the examination and examination, the entire mass should be removed and at the same time.
biopsy is done. Antibiotics, chemotherapy, and radiotherapy can be applied depending on the result. This
the attending physician or physicians should decide.
A third possibility in neck swelling is the presence of congenital masses. These are usually young
Although they are noticed, sometimes they do not appear until old age. When infected, it swells up
they can go out. They can cause discharge from the skin. These are masses, not lymph nodes (glands). Good
they are good-natured. They are usually located in the midline of the neck. Their treatment is surgery.