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A clinic for the rapid processing of patients with neck masses

Published online by Cambridge University Press:  29 June 2007

Richard H. Vowles ,
Sabour Ghiacy  and
Anthony F. Jefferis
Richard H. Vowles*
Affiliation:
Department of Otolaryngology, Wexham Park Hospital, Slough, UK
Sabour Ghiacy
Affiliation:
Department of Diagnostic Imaging, Wexham Park Hospital, Slough, UK
Anthony F. Jefferis
Affiliation:
Department of Otolaryngology, Wexham Park Hospital, Slough, UK
*
Address for correspondence: Mr R. H. Vowles, 86 Cathles Rd, Clapham, London SW12 9LG. email: [email protected]
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Abstract

Neck masses are common and may have serious underlying pathology. There is much anxiety and confusion in primary care as to which hospital department will provide the patient with the best service and the swiftest diagnosis. A clinic was set up at Wexham Park hospital to enable patients with neck masses to be seen early, and to undergo a one-stop specialist evaluation, ultrasound scan and fine needle aspiration biopsy. The clinic has yielded a wide variety of benign and malignant pathology. The first 100 patients are discussed and evaluated.

Keywords

Head and neck neoplasmsLymph nodeNeckUltrasonic diagnosis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 11 , November 1998 , pp. 1061 - 1064
Copyright
Copyright © JLO (1984) Limited 1998

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References

Ahuja, A., Ying, M., Yang, W. T., Evans, R., King, W., Metreweli, C. (1996) The use of sonography in differentiating cervical lymphomatous lymph nodes from cervical metastatic lymph nodes. Clinical Radiology 51 (3): 186–190.CrossRefGoogle ScholarPubMed
Baatenburg-de-Jong, R. J., Knegt, P., Verwoerd, C. (1993) Assessment of cervical metastatic disease. ORL – Journal of Otorhinolaryngology and Related Specialties 55 (5): 273–280.CrossRefGoogle ScholarPubMed
Barki, Y. (1992) Ultrasonographic evaluation of neck masses – sonographic patterns in differential diagnosis. The Israeli Journal of Medical Science 28 (3–4): 212–216.Google ScholarPubMed
Bridger, G. P., Reay-Young, P. (1978) Metastatic neck nodes of unknown primary origin. Medical Journal of Australia 2 (2): 49–51.CrossRefGoogle ScholarPubMed
Candel, A., Gattuso, P., Reddy, V., Matz, G., Castelli, M. (1993) Is fine needle aspiration biopsy of salivary gland masses really necessary? ENT Journal 72 (7): 485–489.Google ScholarPubMed
Edwards, D., Johnson, N. W., Cooper, D., Warnakulasuriya, K. A. S. (1997) Management of cancers of the head and neck in the United Kingdom: questionnaire survey of consultants. British Medical Journal 315: 1589.CrossRefGoogle ScholarPubMed
Ellis, E. R., Mendenhall, W. M., Rao, P. V., McCarty, P. J., Parsons, J. T., Stringer, S. P., Cassisi, N. J., Million, R. (1991) Incisional or excisional neck node biopsy before definitive radiotherapy, alone or followed by neck dissection. Head and Neck 13 (3): 177–183.CrossRefGoogle ScholarPubMed
Flanagan, P. M., Roland, N. J., Jones, A. (1994) Cervical node metastases with features of branchial cyst. Journal of Laryngology and Otology 108: 1068–1071.CrossRefGoogle Scholar
Gianoli, G. J., Miller, R. (1992) Cervical node biopsy. Journal of the Lane State Medical Society 144 (3): 91–94.Google Scholar
Grant, C. S., Hay, I. D., Grough, I. R., McCarthy, P. M., Goellner, J. (1989) Long-term follow-up of patients with benign fine-needle aspiration cytologic diagnoses. Surgery 106: 980–986.Google ScholarPubMed
Gritzmann, N., Koischwitz, D. (1993) Ultrasound of the neck. Journal of Otolaryngology 22 (4): 315–320.Google ScholarPubMed
Hamburger, J. I., Hamburger, S. (1991) Use of needle biopsy data in diagnosis and management of thyroid nodules. In Surgery of the Thyroid and Parathyroids Glands (Cady, B., Rossi, R. L., eds.). W. B. Saunders Co., Philadelphia, pp 92–117.Google Scholar
Kruyt, R. H., van-Putten, W. L., Levendag, P. C., de-Boer, M. F., Oudkerk, M. (1996) Biopsy of non-palpable cervical lymph nodes: selection criteria for ultrasound-guided biopsy in patients with head and neck squamous carcinoma. Ultrasound in Medicine and Biology 22 (4): 413–419.CrossRefGoogle Scholar
Lampe, H. B., Cramer, H. M. (1991) Advances in the use of fine-needle aspiration cytology in the diagnosis of palpable lesions of the head and neck. Journal of Otolaryngology 20 (2): 108–116.Google ScholarPubMed
London, J., London, N. J., Kay, S. P. (1996) latrogenic accessory nerve injury. Annals of the Royal College of Surgeons of England 78 (2): 146–150.Google Scholar
Mack, Y., Parsons, J. T., Mendenhall, W. M., Stringer, S. P., Cassisi, N. J., Million, R. (1993) Squamous carcinoma of the head and neck: Management after excisional biopsy of a solitary metastatic neck node. International Journal of Radiation Oncology, Biology, Physics 25 (4): 619–622.CrossRefGoogle ScholarPubMed
McGurk, M., Hussain, K. (1997) Role of fine needle aspiration cytology in the management of the discrete parotid lump. Annals of the Royal College of Surgeons of England 79 (3): 198–202.Google ScholarPubMed
McGuirt, W. F., McCabe, B. F. (1978) Significance of node biopsy before definitive treatment of cervical metastatic carcinoma. Laryngoscope 88: 594–597.CrossRefGoogle ScholarPubMed
McHenry, C. R., Waffish, P. G., Rosen, I. B. (1993) Non- diagnostic fine needle aspiration biopsy: a dilemma in management of nodular thyroid disease. American Surgeon 59 (7): 415–419.Google ScholarPubMed
McRae, D., Buchannan, G., Kenyon, G. S. (1992) Metastatic cervical lymph nodes: general practitioner referral patients. Postgraduate Medical Journal 68: 342–345.CrossRefGoogle Scholar
O'Brien, C. J., Soong, S. J., Herrera, G. A., Urist, M. M., Maddox, W. A. (1986) Malignant salivary gland tumours – analysis of prognostic factors and survival. Head and Neck Surgery 9: 82–92.CrossRefGoogle ScholarPubMed
Rosen, I. B., Provias, J. P., Walfish, P. (1986) Pathologic nature of cystic thyroid nodules selected for surgery by needle aspiration biopsy. Surgery 100: 606–613.Google ScholarPubMed
Spiro, R. H., Armstrong, J., Harrison, L., Geller, N. L., Lin, S. Y., Strong, E. (1989) Carcinoma of major salivary glands. Recent trends. Archives of Otolaryngology – Head and Neck Surgery 115: 316–321.CrossRefGoogle ScholarPubMed
Steinkamp, H. J., Cornehi, M., Hosten, N., Pegios, W., yogi, T., Felix, R. (1995) Cervical lymphadenopathy: ratio of long- to short-axis diameter as a predictor of malignancy. British Journal of Radiology 68: 266–270.CrossRefGoogle Scholar
Tobias, J. S. (1997) Management of head and neck cancer in Britain: plenty of room for improvement. British Medical Journal 315: 1556.CrossRefGoogle Scholar
Van den Brekel, M. W. M., Castelijns, J. A., Stel, H. V., Golding, R. P., Meyer, C. J. L., Snow, G. B. (1993) Modern imaging techniques and ultrasound-guided aspiration cytology for the assessment of neck node metastases: a prospective comparative study. European Archives of Otorhinolaryngology 250: 11–17.CrossRefGoogle ScholarPubMed