ACR Appropriateness Criteria® Neck Mass-Adenopathy

Publication date: May 2019Source: Journal of the American College of Radiology, Volume 16, Issue 5, SupplementAuthor(s): Expert Panel on Neurologic Imaging:, Joseph M. Aulino, Claudia F.E. Kirsch, Judah Burns, Paul M. Busse, Santanu Chakraborty, Asim F. Choudhri, David B. Conley, Christopher U. Jones, Ryan K. Lee, Michael D. Luttrull, Toshio Moritani, Bruno Policeni, Maura E. Ryan, Lubdha M. Shah, Aseem Sharma, Robert Y. Shih, Rathan M. Subramaniam, Sophia C. Symko, Julie BykowskiAbstractA palpable neck mass may be the result of neoplastic, congenital, or inflammatory disease. Older age suggests neoplasia, and a congenital etiology is more prevalent in the pediatric population. The imaging approach is based on the patient age, mass location, and clinical pulsatility. Underlying human papillomavirus-related malignancy should be considered in all age groups. Although the imaging appearance of some processes in the head and neck overlap, choosing the appropriate imaging examination may allow a specific diagnosis, or a limited differential diagnosis. Tissue sampling is indicated to confirm suspected malignancy.The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCL...
Source: Journal of the American College of Radiology - Category: Radiology Source Type: research