Clinical Practice Guideline: Evaluation of the Neck Mass in Adults Executive Summary

Melissa A Pynnonen; M Boyd Gillespie; Benjamin Roman; Richard M Rosenfeld; David E Tunkel; Laura Bontempo; Itzhak Brook; Davoren Ann Chick; Maria Colandrea; Sandra A Finestone; Jason C Fowler; Christopher C Griffith; Zeb Henson; Corinna Levine; Vikas Mehta; Andrew Salama; Joseph Scharpf; Deborah R Shatzkes; Wendy B Stern; Jay S Youngerman; Maureen D Corrigan

doi:10.1177/0194599817723609

Clinical Practice Guideline: Evaluation of the Neck Mass in Adults Executive Summary

Otolaryngol Head Neck Surg. 2017 Sep;157(3):355-371. doi: 10.1177/0194599817723609.

Authors

Melissa A Pynnonen¹, M Boyd Gillespie², Benjamin Roman³, Richard M Rosenfeld⁴, David E Tunkel⁵, Laura Bontempo⁶, Itzhak Brook⁷, Davoren Ann Chick¹, Maria Colandrea^{8

9}, Sandra A Finestone¹⁰, Jason C Fowler¹¹, Christopher C Griffith¹², Zeb Henson¹³, Corinna Levine¹⁴, Vikas Mehta¹⁵, Andrew Salama¹⁶, Joseph Scharpf¹⁷, Deborah R Shatzkes¹⁸, Wendy B Stern¹⁹, Jay S Youngerman²⁰, Maureen D Corrigan²¹

Affiliations

¹ 1 University of Michigan, Ann Arbor, Michigan, USA.
² 2 University of Tennessee Health Science Center, Memphis, Tennessee, USA.
³ 3 Memorial Sloan Kettering Cancer Center, New York, New York, USA.
⁴ 4 SUNY Downstate Medical Center, Long Island College Hospital, New York, New York, USA.
⁵ 5 Johns Hopkins Medicine, Baltimore, Maryland, USA.
⁶ 6 University of Maryland School of Medicine, Baltimore, Maryland, USA.
⁷ 7 Georgetown University, Washington DC, USA.
⁸ 8 Veterans Affairs Medical Center, Durham, North Carolina, USA.
⁹ 9 Duke University School of Nursing, Durham, North Carolina, USA.
¹⁰ 10 Consumers United for Evidence-Based Healthcare, Baltimore, Maryland, USA.
¹¹ 11 Gannon University, Erie, Pennsylvania, USA.
¹² 12 Emory University, Atlanta, Georgia, USA.
¹³ 13 University of Mississippi Medical Center, Jackson, Mississippi, USA.
¹⁴ 14 University of Miami, Miami, Florida, USA.
¹⁵ 15 Lousiana State University, Shreveport, Louisiana, USA.
¹⁶ 16 Boston University, Boston, Massachusetts, USA.
¹⁷ 17 Cleveland Clinic, Cleveland, Ohio, USA.
¹⁸ 18 Hofstra Northwell School of Medicine, Lenox Hill Hospital, New York, New York, USA.
¹⁹ 19 Southcoast Hospital, North Dartmouth, Massachusetts, USA.
²⁰ 20 Long Island ENT Associates PC, New York, New York, USA.
²¹ 21 American Academy of Otolaryngology-Head and Neck Surgery Foundation, Alexandria, Virginia, USA.

PMID: 28891424
DOI: 10.1177/0194599817723609

Abstract

The American Academy of Otolaryngology-Head and Neck Surgery Foundation has published a supplement to this issue of Otolaryngology-Head and Neck Surgery featuring the "Clinical Practice Guideline: Evaluation of the Neck Mass in Adults." To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 12 recommendations developed emphasize reducing delays in diagnosis of head and neck squamous cell carcinoma; promoting appropriate testing, including imaging, pathologic evaluation, and empiric medical therapies; reducing inappropriate testing; and promoting appropriate physical examination when cancer is suspected.

Keywords: clinical practice guideline; neck cancer; neck mass; squamous cell carcinoma.

Publication types

Practice Guideline
Research Support, Non-U.S. Gov't

MeSH terms

Adult
Algorithms
Head and Neck Neoplasms / diagnosis*
Humans
Patient Education as Topic