3. EVALUATION AND TREATMENT OF THE PATINT WITH A NECK MASS A slide lecture series of the American academy of the otolaryngology – head and neck surgery. neck surgery.

16. ETIOLOGIES - INFLAMMTORY Pyogenic lymphadenitis & R.L.HPyogenic lymphadenitis & R.L.H Scrofula.Scrofula. Cat scratch.Cat scratch. Toxoplasmosis.Toxoplasmosis. Sialadenitis.Sialadenitis. Thyroiditis.Thyroiditis. I.M.NI.M.N AIDSAIDS

25. ETIOLOGIES- NEOPLASTIC PRIMARY TUMORS Lymphoma.Lymphoma. Thyroid.Thyroid. Salivary Gland.Salivary Gland. Vascular.Vascular. Neurogenic.Neurogenic.

32. ETIOLOGIES – NEOPLASTIC METASTATIC TUMORS SUPRACLAVICULAR.SUPRACLAVICULAR. INFRACLAVICULAR.INFRACLAVICULAR. ANKNOWN ORIGIN.ANKNOWN ORIGIN.

34. HISTORY Age.Age. Gender.Gender. Ethnic Background.Ethnic Background. Smoking History.Smoking History. Onset and Course.Onset and Course. Trauma.Trauma. Infectious Exposure.Infectious Exposure.

35. HISTORY Change in Voice.Change in Voice. Pain.Pain. Dysphagia.Dysphagia. Hearing Loss.Hearing Loss. Skin Lesions.Skin Lesions. Infraclavicular Symptoma.Infraclavicular Symptoma. Family History.Family History.

36. PHYSICAL EXAMINATION LYMPH NODE CHARACTERISTICS Hard, Fixed.Hard, Fixed. Rubbery, Matted.Rubbery, Matted. Fluctuant.Fluctuant. Tender.Tender.

37. PHYSICAL EXAMINATION COMPLETE HEAD AND NECK EXAMINATION Ear.Ear. Nose.Nose. Oral Cavity.Oral Cavity. Larynx and Hypopharynx.Larynx and Hypopharynx. Nasopharynx.Nasopharynx. Neck.Neck. Skin and Scalp.Skin and Scalp.

38. PHYSICAL EXAMINATION General examination Breast.Breast. Lymph Nodes.Lymph Nodes. Prostate.Prostate. Rectum.Rectum.

39. FNA اولین گام تشخیص پاراکلینیک در توده گردنی است.

41. LABORATORY TEST Complete Blood Count.Complete Blood Count. Urinalysis.Urinalysis. Liver Function Test.Liver Function Test. TB Skin Test.TB Skin Test. Syphilis Test.Syphilis Test. Mononucleosis Test.Mononucleosis Test. Thyroid Function Test.Thyroid Function Test.

42. ROUTINE RADIOGRAPHIC STUDIES Chest x – ray.Chest x – ray. Computerized Tomographr.Computerized Tomographr.

43. ANCILLARY IMAGING STUDIES Bone Scan.Bone Scan. GL Tract studies.GL Tract studies. Thyroid Scan.Thyroid Scan. IVPIVP Liver / Spleen Scan.Liver / Spleen Scan.

46. PANENDOSCOPY Nasopharyngoscopy.Nasopharyngoscopy. Laryngoscopy.Laryngoscopy. Bronchoscopy.Bronchoscopy. Esophagoscopy.Esophagoscopy.

48. THERAPEUTIC OPTIONS BASED ON FROZEN SECTION ANALYSIS OF NECK MASS BIOPSY NECK MASS BIOPSY UNDIFFERENTIATED OR SQUAMOUS CARCINOMA ADENOCARCINOMATHYROIDCARCINOMA BENIGN NON- DIAGNOSTICLYMPHOMAINFRACLAVICULARPRIMARY NECK DISSECTION LOOK FOR PRIMARY LOW NECK NODE HIGH NECK NODE NECK DISSECTION THYROIDECTOMY LOOK FOR PRIMARY EXCISE SALIVARY TUMOR NO FURTHER SURGERY

49. DIAGNOSTIC AND THERAPEUTIC APPROACH TO CERVICAL MASSES HISTORY PHYSICAL AND FINE NEEDLE ASPIRATE LAB AND X-RAY FINDINGS PRIMARYUNKNOWN RANDOMBIOPSIES POSITIVE TREAT NEGATIVE BIOPSY LYMPH NODE PRIMARYKNOWN BIOPSY OF LESION