Neck Swollen Neck Masses

Almost every individual has noticed a lump on their neck at some point in their life. While some of these may be an indication of very ordinary diseases, others may be a symptom of a very important ailment that needs immediate attention.

in different age groups swelling in the neck areaThere are differences in the proportional distribution of the diseases that cause the mass, or in other words, cause the mass.

in childhood neck swelling is very common. These swellings may be one or more in the neck, in the midline or on the sides, just below the lower jawbone, in front of or behind the ear. Most common cause of swelling in childhood inflammationthat is, with inflammation upper respiratory tract infectionsIt is a different disease associated with the immune system, including the upper respiratory and digestive system.

In childhood, diseases that occur as a result of the cessation of the development of some tissues at a certain stage of development in the mother’s womb or the wrong development of them, can result in swelling or swelling in the neck. mass can reveal itself. Although such developmental problems are not only seen in childhood, the most common age group is childhood. Developmental pathologies can range in size from a millimetric mass to a size that covers almost the entire neck. Among the most common developmental pathologies associated with the development of the thyroid gland thyroglossal duct cystassociated with the development of head, neck, and thoracic structures branchial abnormalitiesassociated with the immune system and fluid structures lymphangiomasmany different examples can be cited.

Neck masses, which are most common in young adults, are caused by the growth of structures called lymph nodes, which are part of the immune system due to infections, just like in childhood. lymphadenopathy called) originates. Lymphadenopathy can cause complaints such as a neck swelling that the individual or a relative notices in the mirror, or pain when swallowing, soreness when touched with the hand, redness and heat increase in the area where it is located, discharge to the skin over the lymph node, or general increase in body temperature of the individual and fatigue. may cause. Lymph node enlargement can be secondary to a viral infection that is common in daily life, or it can be the first sign of a more serious infection, such as tuberculosis, that also affects other parts of the body.

Benign swellings are seen more frequently in older adults than malignant ones, but neck swelling due to malignant causes is proportionally higher than in other age groups. Pathologies of the salivary glands located around the mouth (stones, enlargement of the salivary glandbenign or malignant arising from salivary gland tissue tumoral diseasesmay also present with swelling in the head and neck region.

When should a doctor be consulted? How is the diagnosis made?

Individuals of all ages who notice swelling in the head and neck region should first Otolaryngology – Head and Neck Surgery Specialist should apply to. After a comprehensive ear, nose, throat and head and neck examination (this examination is usually in line with the patient’s needs) endoscopic examination of nasal, pharynx, larynx and esophagus entrance will give the necessary information to the patient. It may be sufficient to initiate drug therapy and follow-up the patients who are thought to have an infectious, inflammatory disorder. In some patients, different radiological examinations are performed for reasons such as differential diagnosis before starting any treatment and better revealing the pathology objectively. ultrasonography, computed tomographyand magnetic resonance imaging etc.) may be necessary. Nuclear medicine methods for some patients ( scintigraphy) or taking a sample for pathological examination of tissue ( fine needle aspiration biopsyor by taking a piece directly from the tissue).

What is the place of surgery in the treatment of neck masses? When is surgery needed?

As I have presented above, The vast majority of head and neck masses occur secondary to infections or other inflammatory conditions. The treatment of such masses using medical, that is, drugs, is usually very successful. It is a necessity to use the right drugs at the appropriate time and dose. However, Surgical treatment is an option that can be applied very successfully in cases where the primary treatment is surgery, such as infectious – inflammatory diseases that do not benefit from drug therapy and good or bad tumoral diseases of the structures in the head and neck region.The specimens removed by surgical treatment can also be examined pathologically and other treatment methods that the patient may need ( radiotherapyor chemotherapyetc.) can be planned.

BRIEFLY…

  • Swelling of the head and neck region can be seen in all age groups.
  • It would be appropriate for the patients to be evaluated in detail by an otolaryngologist.
  • Drug treatments are generally used as treatment methods, and surgical treatments are used in patients when necessary.

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