ACR Appropriateness Criteria ® Neck Mass-Adenopathy

Publication Date

2019

Journal Title

Journal of the American College of Radiology

Abstract

© 2019 American College of Radiology A 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/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

Volume Number

16

Issue Number

5

Pages

S150 - S160

Document Type

Article

Status

Faculty

Facility

School of Medicine

Primary Department

Radiology

Additional Departments

Otolaryngology

PMID

31054741

DOI

10.1016/j.jacr.2019.02.025

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