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Adults with Palpable Neck Mass: Evidence-Based Neuroimaging

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Evidence-Based Neuroimaging Diagnosis and Treatment

Part of the book series: Evidence-Based Imaging ((Evidence-Based Imag.))

Abstract

The majority of palpable neck masses referred for imaging can be divided into these general categories: infection, neoplasm, or congenital mass (Table 38.1). The cervical lymphatic system including Waldeyer’s ring, superficial and deep cervical nodes (occipital, auricular, parotid, facial, retropharyngeal, submental, submandibular, internal jugular, spinal accessory, and supraclavicular), serves as initial line of defense against infections as well as neoplastic spread for all structures within the head and neck including skin, salivary glands, and aerodigestive tract. Most cervical lymphatics drain to the submandibular and internal jugular cervical lymph nodes, which are consequently often involved in cervical lymphadenitis and metastatic disease. Congenital lesions mostly present in children but may manifest late in adulthood as palpable neck mass or neck infection, thus their typical anatomic locations and associated physical findings establish the diagnosis and surgical management [1–3].

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Author information

Authors and Affiliations

  1. Department of Radiology, University of Pennsylvania Health System, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104, USA

    Kim O. Learned & Laurie A. Loevner

  2. Department of Otolaryngology – Head and Neck Surgery, University of Michigan Health System, Ann Arbor, MI, 48109, USA

    Kelly M. Malloy

  3. Department of Radiology, University of Pennsylvania Health System, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104, USA

    Jill E. Langer

Authors
  1. Kim O. Learned
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  2. Kelly M. Malloy
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  3. Jill E. Langer
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  4. Laurie A. Loevner
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Corresponding author

Correspondence to Kim O. Learned .

Editor information

Editors and Affiliations

  1. Division of Neuroradiology-Neuroimaging, Department of Radiology, Miami Children’s Hospital, Miami, FL, USA

    L. Santiago Medina

  2. Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA

    L. Santiago Medina

  3. Former Lecturer in Radiology, Harvard Medical School, Boston, MA, USA

    L. Santiago Medina

  4. Department of Radiology, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, NY, USA

    Pina C. Sanelli

  5. Department of Radiology, Harborview Medical Center, University of Washington, Seattle, WA, USA

    Jeffrey G. Jarvik

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Learned, K.O., Malloy, K.M., Langer, J.E., Loevner, L.A. (2013). Adults with Palpable Neck Mass: Evidence-Based Neuroimaging. In: Medina, L.S., Sanelli, P.C., Jarvik, J.G. (eds) Evidence-Based Neuroimaging Diagnosis and Treatment. Evidence-Based Imaging. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3320-0_39

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  • DOI: https://doi.org/10.1007/978-1-4614-3320-0_39

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