Boyun Kitleleri: Değerlendirme, Ayırıcı Tanı ve Yaklaşım

Hüseyin Öztarakçı; Saime Sağıroğlu

doi:10.17827/aktd.303570

Review

Neck Masses: Evaluation, Differential Diagnosis and Approach

Year 2017, Volume: 26 Issue: 2, 238 - 250, 30.06.2017

Hüseyin Öztarakçı Saime Sağıroğlu

https://doi.org/10.17827/aktd.303570

Abstract

Neck mass is a symptom that could be seen in all age groups and brings significant trouble. IN differential diagnosis of the neck masses wide spectrum of diseases should be considered. Therefore, our aim is to achieve a quick and accurate diagnosis and also not to harm patients. Neck mass may be due to a simple infection or a first sign of head and neck region tumor. Patients with neck masses must be evaluated with a detailed head and neck physical examination, further tests like fine needle aspiration biopsy may also be required. Excisional biopsy should be done if necessary. Most of the benign or malign lesions are the cause of masses on the neck.

Keywords

Neck mass, fine needle aspiration biopsy, malignancy

References

1. Koç C. Pediatrik Boyun Kitleleri. Klinik Pediatri. 2002;1(2):62-72.
2. Emerick K, Lin D.Differential diagnosis of a neck mass. In Ed. Descler DG, Sokol HN. Up to Date 2012.
3. Robert I. Grossman, David M. Yousem. Neuroradiology, Vol 3. 2nd Ed. Philadelphia: Mosby Year Book, 2009.
4. Güney E, Şeşen T, Tanyeri Y, Yalçın Ş. Boyun kitleleri. XVII. Türk ORL Kongre Kitabı. İstanbul: Hilal Mat. Koll. Şti, 1985: 367-74.
5. Cummings CW, et al. Otolaryngology-Head and Neck Surgery. 5th Ed. Philadelphia: Mosby Year Book, 2010.
6. Rosenberg TL, Brown JJ, Jefferson GD. Evaluating the adult patient with a neck mass. Med Clin North Am. 2010;94:1017-29.
7. Robbins KT, Clayman G, Levine PA, Medina J, Sessions R, Shaha A, Som P, Wolf GT Neck dissection classification update: revisions proposed by the American Head and Neck Society and the American Academy of Otolaryngology-Head and Neck Surgery. Arch Otolaryngol Head Neck Surg. 2002;128:751-8.
8. Lefebvre JL, Coche-Dequeant B, Van JT, Buisset E, Adenis A. Cervical lymph nodes from an unknown primary tumour in 190 patients. Am J Surg. 1990;160:443-6.
9. Y Goffart, M Hamoir, P Deron, J Claes, M Remacle - B ENT, 2005. Management of lateral neck masses in adults. B-ENT. 2005; 1;133-42.
10. Toplu Y, Karataş E, Çiçek MT, Çetinkaya Z. Boyun Orta Hattında Tiroglossal Duktus Kisti Sanılan Ektopik Tiroid Doku Adenomu. J Turgut Ozal Med Cent. 2013;20:89-91.
11. Medina M, Goldfarb J, Traquina D, Seeley B, Sabella C. Servikal adenit veStreptococcus pneumoniae neden derin boyun enfeksiyonu Pediatr Dis J 1.997 Infect.
12. McDermott LJ, Glassroth J, Mehta JB, Dutt AK. Tuberculosis. Part I. Dis Mon. 1997;43:113-80.
13. Sunay T, Süloğlu Y, Katırcıoğlu OY, Ünal M, Ağan M. Baş-Boyunda Toksoplazma İnfeksiyonu. KBB ve Baş Boyun Cerrahisi Dergisi. 1995;3:272-5.
14. O'Dwyer P, Farrar WB, James AG, Finkelmeier W, McCabe DP. Needle aspiration biopsy of major salivary gland tumors. It's value. Cancer. 1986;57:554-7.
15. Mazzaferi el. Thyroid cancer in thyroid nodüles. Finding a needle in a haystack. Am J Med. 1992;93:359.
16. Pelliteri P, Rinaldo A, Myssiorek D, Jackson C, Bradley P, Devaney K, Shaha A, Netterville J, Manni J, Ferlito A. Paragangliomas of the head and neck. Oral Oncol. 2004; 40:563–75.
17. Mourkarbel RV,Sabri AN.Current management of head and neck schwannomas. Curr Opin Otolaryngol Head Neck Surg. 2005;13:117-22.
18. Das Gupta, Brassﬁeld R, Strong E. Benign solitary schwannoma (neurolemmoma). Cancer. 1969;24:355-66.
19. Katz RL, Caraway NP. FNA of lymphoproliferative disease: myths and legends [editorial]. Diagn Cytopathol. 1995;12: 99-100.
20. Rosenberg TL, Brown JJ, Jefferson GD. Evaluating the adult patient with a neck mass. Med Clin North Am. 2010;94:1017-29.
21. Koç C, Akyol MU, Özdem C. Boyun kitleleri. Ankara Tıp Mecmuası. 1995;48:243.
22. Emerick K, Lin D. Differential diagnosis of a neck mass. In Ed.Descler DG, Sokol HN. Up to Date. 2012.
23. Schwetschenau E, Kelley DJ. The adult neck mass. Am Fam Physicians. 2002;66:831-8.
24. Wu CH, Chang YL, Hsu WC, Ko JY, Sheen TS, Hsieh FJ. Usefulness of Doppler spectral analysis and power Doppler sonography in the differentiation of cervical lymphadenopathies. AJR Am J Roentgenot. 1998;171:503-9.
25. Ginsberg LE. Imaging of perineural tumor spread in head and neck cancer. Semin Ultrasound CT MR. 1999; 20:175-86.
26. Wong WL, Hussain K, Chevretton E, et al. Validation and clinical application of computer-combined computed tomography and positron emission tomography with 2-[18F]fluoro-2-deoxy-D-glucose head and neck images. Am J Surg. 1996; 172:628-32.
27. Şapçı T, Bozkurt Z, Akbulut UG. Boyun Kitlelerinin Analizi. KBB ve Baş Boyun Cerrahisi Dergisi 1999;7:143-6.
28. Roseman BJ, Clark OH. Neck Mass. ACS Surgery: Principles and Practice 2008; BC Decker Inc.
29. Lefebvre JL, Coche-Dequeant B, Van JT, Buisset E, Adenis A. Cervical lymph nodes from an unknown primary tumour in 190 patients. Am J Surg. 1990; 160:443-6.
30. Saniasiaya J, Mohamad I. A Rare Differential Diagnosis of a Solitary Anterior Neck Mass. Oman Med J. 2016;5: 384-6.

Boyun Kitleleri: Değerlendirme, Ayırıcı Tanı ve Yaklaşım

Year 2017, Volume: 26 Issue: 2, 238 - 250, 30.06.2017

Hüseyin Öztarakçı Saime Sağıroğlu

https://doi.org/10.17827/aktd.303570

Abstract

Boyunda kitle, her yaş grubunu etkileyebilen ve hastaları oldukça endişelendiren bir semptomdur. Boyun kitlelerinin ayırıcı tanısı çok geniş hastalıklar spektrumunun tanısı ve tedavisi konusunda detaylı bir bilgi sahibi olmayı gerektirir. Boyundaki kitle basit bir enfeksiyona bağlı olabileceği gibi baş boyun bölgesi kaynaklı bir tümörün ilk belirtisi olarak veya vücudun başka bölgesinde bulunan bir tümörün uzak metastazı şeklinde de karşımıza çıkabilir. Baş-boyun kitlesinde mutlaka ayrıntılı baş-boyun ve fizik muayene, ileri tetkikler ve ince iğne aspirasyon biopsisi yapılmalıdır. Gerektiği durumlarda eksizyonel biopsi uygulanmalıdır. Benign ya da malign özellikteki pek çok lezyon boyunda kitle sebebidir.

Keywords

Boyunda kitle, ince iğne aspirasyon biopsisi, malign, benign

References

1. Koç C. Pediatrik Boyun Kitleleri. Klinik Pediatri. 2002;1(2):62-72.
2. Emerick K, Lin D.Differential diagnosis of a neck mass. In Ed. Descler DG, Sokol HN. Up to Date 2012.
3. Robert I. Grossman, David M. Yousem. Neuroradiology, Vol 3. 2nd Ed. Philadelphia: Mosby Year Book, 2009.
4. Güney E, Şeşen T, Tanyeri Y, Yalçın Ş. Boyun kitleleri. XVII. Türk ORL Kongre Kitabı. İstanbul: Hilal Mat. Koll. Şti, 1985: 367-74.
5. Cummings CW, et al. Otolaryngology-Head and Neck Surgery. 5th Ed. Philadelphia: Mosby Year Book, 2010.
6. Rosenberg TL, Brown JJ, Jefferson GD. Evaluating the adult patient with a neck mass. Med Clin North Am. 2010;94:1017-29.
7. Robbins KT, Clayman G, Levine PA, Medina J, Sessions R, Shaha A, Som P, Wolf GT Neck dissection classification update: revisions proposed by the American Head and Neck Society and the American Academy of Otolaryngology-Head and Neck Surgery. Arch Otolaryngol Head Neck Surg. 2002;128:751-8.
8. Lefebvre JL, Coche-Dequeant B, Van JT, Buisset E, Adenis A. Cervical lymph nodes from an unknown primary tumour in 190 patients. Am J Surg. 1990;160:443-6.
9. Y Goffart, M Hamoir, P Deron, J Claes, M Remacle - B ENT, 2005. Management of lateral neck masses in adults. B-ENT. 2005; 1;133-42.
10. Toplu Y, Karataş E, Çiçek MT, Çetinkaya Z. Boyun Orta Hattında Tiroglossal Duktus Kisti Sanılan Ektopik Tiroid Doku Adenomu. J Turgut Ozal Med Cent. 2013;20:89-91.
11. Medina M, Goldfarb J, Traquina D, Seeley B, Sabella C. Servikal adenit veStreptococcus pneumoniae neden derin boyun enfeksiyonu Pediatr Dis J 1.997 Infect.
12. McDermott LJ, Glassroth J, Mehta JB, Dutt AK. Tuberculosis. Part I. Dis Mon. 1997;43:113-80.
13. Sunay T, Süloğlu Y, Katırcıoğlu OY, Ünal M, Ağan M. Baş-Boyunda Toksoplazma İnfeksiyonu. KBB ve Baş Boyun Cerrahisi Dergisi. 1995;3:272-5.
14. O'Dwyer P, Farrar WB, James AG, Finkelmeier W, McCabe DP. Needle aspiration biopsy of major salivary gland tumors. It's value. Cancer. 1986;57:554-7.
15. Mazzaferi el. Thyroid cancer in thyroid nodüles. Finding a needle in a haystack. Am J Med. 1992;93:359.
16. Pelliteri P, Rinaldo A, Myssiorek D, Jackson C, Bradley P, Devaney K, Shaha A, Netterville J, Manni J, Ferlito A. Paragangliomas of the head and neck. Oral Oncol. 2004; 40:563–75.
17. Mourkarbel RV,Sabri AN.Current management of head and neck schwannomas. Curr Opin Otolaryngol Head Neck Surg. 2005;13:117-22.
18. Das Gupta, Brassﬁeld R, Strong E. Benign solitary schwannoma (neurolemmoma). Cancer. 1969;24:355-66.
19. Katz RL, Caraway NP. FNA of lymphoproliferative disease: myths and legends [editorial]. Diagn Cytopathol. 1995;12: 99-100.
20. Rosenberg TL, Brown JJ, Jefferson GD. Evaluating the adult patient with a neck mass. Med Clin North Am. 2010;94:1017-29.
21. Koç C, Akyol MU, Özdem C. Boyun kitleleri. Ankara Tıp Mecmuası. 1995;48:243.
22. Emerick K, Lin D. Differential diagnosis of a neck mass. In Ed.Descler DG, Sokol HN. Up to Date. 2012.
23. Schwetschenau E, Kelley DJ. The adult neck mass. Am Fam Physicians. 2002;66:831-8.
24. Wu CH, Chang YL, Hsu WC, Ko JY, Sheen TS, Hsieh FJ. Usefulness of Doppler spectral analysis and power Doppler sonography in the differentiation of cervical lymphadenopathies. AJR Am J Roentgenot. 1998;171:503-9.
25. Ginsberg LE. Imaging of perineural tumor spread in head and neck cancer. Semin Ultrasound CT MR. 1999; 20:175-86.
26. Wong WL, Hussain K, Chevretton E, et al. Validation and clinical application of computer-combined computed tomography and positron emission tomography with 2-[18F]fluoro-2-deoxy-D-glucose head and neck images. Am J Surg. 1996; 172:628-32.
27. Şapçı T, Bozkurt Z, Akbulut UG. Boyun Kitlelerinin Analizi. KBB ve Baş Boyun Cerrahisi Dergisi 1999;7:143-6.
28. Roseman BJ, Clark OH. Neck Mass. ACS Surgery: Principles and Practice 2008; BC Decker Inc.
29. Lefebvre JL, Coche-Dequeant B, Van JT, Buisset E, Adenis A. Cervical lymph nodes from an unknown primary tumour in 190 patients. Am J Surg. 1990; 160:443-6.
30. Saniasiaya J, Mohamad I. A Rare Differential Diagnosis of a Solitary Anterior Neck Mass. Oman Med J. 2016;5: 384-6.

There are 30 citations in total.

Details

Subjects	Health Care Administration
Journal Section	Review
Authors	Hüseyin Öztarakçı This is me Saime Sağıroğlu
Publication Date	June 30, 2017
Acceptance Date	November 27, 2016
Published in Issue	Year 2017 Volume: 26 Issue: 2

Cite

AMA	Öztarakçı H, Sağıroğlu S. Boyun Kitleleri: Değerlendirme, Ayırıcı Tanı ve Yaklaşım. aktd. June 2017;26(2):238-250. doi:10.17827/aktd.303570

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