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The Management of Neck Mass During Pregnancy and the Postpartum Period

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ENT Diseases: Diagnosis and Treatment during Pregnancy and Lactation

Abstract

A mass in the neck is a common clinical finding encountered in clinical practice. Determining the etiology of a neck mass is not straightforward, owing to developing from a wide array of processes. A neck mass may evolve as an isolated disease, a sign of a systemic disease, or be the only clinically apparent manifestation of malignancy in another part of the head and neck or elsewhere in the body. Therefore, timely diagnosis of a neck mass is paramount, because delayed diagnosis of malignancy worsens prognosis [1].

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References

  1. Pynnonen MA, Gillespie MB, Roman B, et al. Clinical practice guideline: evaluation of the neck mass in adults. Otolaryngol Head Neck Surg. 2017;157(2_suppl):S1–S30.

    Article  Google Scholar 

  2. Balikci HH, Gurdal MM, Ozkul MH, et al. Neck masses: diagnostic analysis of 630 cases in Turkish population. Eur Arch Otorhinolaryngol. 2013;270(11):2953–8.

    Article  CAS  Google Scholar 

  3. McGuirt WF. The neck mass. Med Clin North Am. 1999;83(1):219–34.

    Article  CAS  Google Scholar 

  4. Sun GH. Evaluating neck masses in adult and pediatric patients. Medscape. https://www.medscape.com/viewarticle/911554_5. Accessed 11 July 2020.

  5. Rosenberg TL, Brown JJ, Jefferson GD. Evaluating the adult patient with a neck mass. Med Clin North Am. 2010;94(5):1017–29.

    Article  Google Scholar 

  6. Rosenberg TL. Differential diagnosis of adult neck masses. In: Kountakis SE, editor. Encyclopedia of otolaryngology, head and neck surgery. Berlin: Springer; 2013.

    Google Scholar 

  7. Simo R, Jeannon JP. Benign neck disease. In: Watkinson JC, Gilbert RW, editors. Stell & Maran’s textbook of head and neck surgery and oncology. London: Hodder Arnold; 2012.

    Google Scholar 

  8. Simo R, Leslie A. Differential diagnosis and management of neck lumps. Surgery (Oxford). 2006;24(9):312–22.

    Article  Google Scholar 

  9. Thandar MA, Jonas NE. An approach to the neck mass. CME. 2004;22:266–72.

    Google Scholar 

  10. Wetmore RF, Potsic WP. Differential diagnosis of neck masses. In: Lesperance MM, Flint PW, editors. Cummings pediatric otolaryngology. Philadelphia: Elsevier Saunders; 2015.

    Google Scholar 

  11. Tracy TF Jr, Muratore CS. Management of common head and neck masses. Semin Pediatr Surg. 2007;16(1):3–13.

    Article  Google Scholar 

  12. Goffart Y, Hamoir M, Deron P, et al. Management of neck masses in adults. B-ENT. 2005;(suppl 1):133–40.

    Google Scholar 

  13. Franzen A, Günzel T, Buchali A, et al. Etiologic and differential diagnostic significance of tumor location in the supraclavicular fossa. Laryngoscope. 2018;128(3):646–50.

    Article  Google Scholar 

  14. Maghami E, Ismaila N, Alvarez A, et al. Diagnosis and management of squamous cell carcinoma of unknown primary in the head and neck: ASCO guideline. J Clin Oncol. 2020;38(22):2570–96.

    Article  Google Scholar 

  15. Puac P, Rodríguez A, Vallejo C, et al. Safety of contrast material use during pregnancy and lactation. Magn Reson Imaging Clin N Am. 2017;25(4):787–97.

    Article  Google Scholar 

  16. Coakley F, Gould R, Hess C, et al. Guidelines for the use of CT and MRI during pregnancy and lactation. https://radiology.ucsf.edu/patient-care/patient-safety/ct-mri-pregnancy. Accessed 11 July 2020.

  17. Tirada N, Dreizin D, Khati NJ, et al. Imaging pregnant and lactating patients. Radiographics. 2015;35(6):1751–65.

    Article  Google Scholar 

  18. Ray JG, Vermeulen MJ, Bharatha A, et al. Association between MRI exposure during pregnancy and fetal and childhood outcomes. JAMA. 2016;316(9):952–61.

    Article  Google Scholar 

  19. Paleri V, Mehanna H. Neck masses. In: Musheer Hussain S, editor. Logan Turner’s diseases of the nose, throat and ear head and neck surgery. London: Taylor & Francis Group; 2016.

    Google Scholar 

  20. Alexander EK, Pearce EN, Brent GA, et al. 2017 guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and the postpartum [published correction appears in thyroid. 2017 Sep;27(9):1212]. Thyroid. 2017;27(3):315–89.

    Article  Google Scholar 

  21. Gleeson M, Herbert A, Richards A. Management of lateral neck masses in adults. BMJ. 2000;320(7248):1521–4.

    Article  CAS  Google Scholar 

  22. Haynes J, Arnold KR, Aguirre-Oskins C, et al. Evaluation of neck masses in adults. Am Fam Physician. 2015;91(10):698–706.

    PubMed  Google Scholar 

  23. Novoa E, Gürtler N, Arnoux A, et al. Role of ultrasound-guided core-needle biopsy in the assessment of head and neck lesions: a meta-analysis and systematic review of the literature. Head Neck. 2012;34:1497–503.

    Article  Google Scholar 

  24. Kalra A, Prucher GM, Hodges S. The role of core needle biopsies in the management of neck lumps. Ann R Coll Surg Engl. 2019;101(3):193–6.

    Article  CAS  Google Scholar 

  25. Kamat AR, Schantz SP. Evaluation and management of the solitary neck mass. In: Sclafani AP, editor. Total otolaryngology—head and neck surgery. New York: Thieme Medical Publishers, Inc; 2015.

    Google Scholar 

  26. Brodsky JB, Cohen EN, Brown BW, et al. Surgery during pregnancy and fetal outcome. Am J Obstet Gynecol. 1980;138(8):1165–7.

    Article  CAS  Google Scholar 

  27. Reitman E, Flood P. Anaesthetic considerations for non-obstetric surgery during pregnancy. Br J Anaesth. 2011;107(Suppl 1):i72–8.

    Article  Google Scholar 

  28. Z-Coste AH, Lofgren DH, Shermetaro C. Branchial cleft cyst. https://www.ncbi.nlm.nih.gov/books/NBK499914/. Accessed 11 July 2020.

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Correspondence to Atılay Yaylacı .

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Yaylacı, A., Öztürk, M., Sih, T. (2022). The Management of Neck Mass During Pregnancy and the Postpartum Period. In: Cingi, C., Özel, H.E., Bayar Muluk, N. (eds) ENT Diseases: Diagnosis and Treatment during Pregnancy and Lactation. Springer, Cham. https://doi.org/10.1007/978-3-031-05303-0_53

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  • DOI: https://doi.org/10.1007/978-3-031-05303-0_53

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-05302-3

  • Online ISBN: 978-3-031-05303-0

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