Evaluation of an Enlarged Cervical Lymph Node

  • Laila Siddique
  • Tom Shokri
  • Neerav GoyalEmail author


Cervical lymphadenopathy is a common clinical finding and can be attributable to a wide variety of underlying pathology such as reactive lymphadenopathy, granulomatous disease, lymphoma, or malignancies of the head and neck. In addition to a complete history and physical, laboratory workup and imaging may complement clinical findings and facilitate staging of malignancy with implications in both prognosis and management. A systematic approach should be implemented with early referral to a head and neck surgeon should overtly concerning findings manifest.


Lymphadenopathy Cervical abscess Thyroglossal duct cyst Branchial cleft cyst Sarcoidosis Mycobacterial infection Lymphoma Dermoid cyst Vascular malformation Neck mass 


  1. 1.
    Connolly AA, MacKenzie K. Paediatric neck masses—a diagnostic dilemma. J Laryngol Otol. 1997;111(6):541–5.CrossRefGoogle Scholar
  2. 2.
    Bauer PW, Lusk RP. Neck masses. In: Bluestone CD, Stool SE, Alper CM, et al., editors. Pediatric otolaryngology. 4th ed. Philadelphia: Saunders; 2003. p. 1629–47.Google Scholar
  3. 3.
    Torsiglieri AJ Jr, Tom LW, Ross AJ III, Wetmore RF, Handler SD, Potsic WP. Pediatric neck masses: guidelines for evaluation. Int J Pediatr Otorhinolaryngol. 1988;16(3):199–210.CrossRefGoogle Scholar
  4. 4.
    Acierno SP, Waldhausen JH. Congenital cervical cysts, sinuses and fistulae. Otolaryngol Clin N Am. 2007;40(1):161–76. vii–viii.CrossRefGoogle Scholar
  5. 5.
    Leung AK, Robson WL. Childhood cervical lymphadenopathy. J Pediatr Health Care. 2004;18(1):3–7.CrossRefGoogle Scholar
  6. 6.
    Anne S, Teot LA, Mandell DL. Fine needle aspiration biopsy: role in diagnosis of pediatric head and neck masses. Int J Pediatr Otorhinolaryngol. 2008;72(10):1547–53.CrossRefGoogle Scholar
  7. 7.
    Dickson PV, Davidoff AM. Malignant neoplasms of the head and neck. Semin Pediatr Surg. 2006;15(2):92–8.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Division of Otolaryngology-Head and Neck Surgery, Department of SurgeryPenn State Milton S. Hershey Medical CenterHersheyUSA
  2. 2.Department of Otolaryngology-Head and Neck SurgeryUniversity of Miami Miller School of MedicineMiamiUSA
  3. 3.Penn State Cancer InstitutePenn State Milton S. Hershey Medical CenterHersheyUSA

Personalised recommendations