Neck lumps

Abstract

Neck lumps are a common presenting complaint in primary care. They can cause a significant amount of concern for patients, due to their visibility around the head and neck. There is a plethora of causes for lumps in the neck, some of which need to be investigated urgently. In this article, we suggest a method for identifying the likely cause of a neck lump, introduce possible management strategies and cover red flag signs and symptoms to prompt urgent onward referral for investigation. The differential diagnosis of a lump in the neck may seem intimidating, but a thorough, systematic approach to history and examination narrows this list and directs appropriate investigation. If malignancy is suspected, a 2-week fast track referral should be made, without waiting for results of investigations in the community. These may be requested simultaneously with referral, according to local policy.