Casebook: Head and neck swellings

Module summary

GP with an extended role in ENT Dr Eason Sivayoham explains how to manage four cases involving presentations of head and neck swellings.

Learning objectives

This case-based module will guide you through assessment, diagnosis and management of four presentations of head and neck swellings, including:

• How to approach ‘enlarged glands’, assess likelihood of malignancy and choose appropriate referral options.
• Examination of enlarged thyroid, what features should prompt urgent referral, and tests and appropriate investigations in non-urgent cases.
• Key history and tests when dealing with high-risk, firm, fixed neck lump requiring urgent referral.
• Assessment of pulsatile neck swelling, what differentials to consider and investigations, and appropriate management of carotid body tumour or aneurysm.

Author: Dr Eason Sivayoham is GP with an extended role in ENT at Manchester University NHS Foundation Trust. He is also the Co-Chair of ENT UK Community group and represents community ENT on the ENT UK Council.

Date published: 21.11.2024