Uncommon Neck Swellings : Aetiology and Management .

Introduction: The commonest swelling in the neck worldwide is a lymph nodal enlargement. The commonest cause of cervical lymphadenopathy varies from country to country and include Tuberculosis, Lymphomas, and metastatic cancers. However, there are a variety of less common causes of neck swellings, which are encountered in clinical practice. Because of their rarity, clinical diagnosis is rarely attained and they are often histological surprises after incisional or excision biopsy. Objective and Methods: It is useful to know the uncommon causes of neck swellings as they present a diagnostic dilemma as well as a therapeutic challenge. In this article, we document the clinical features of a few uncommon neck swellings that we encountered in our clinical practice along with their management along with review of relevant literature. Results: There were 6 patients of obscure neck swellings over a period of 5 years. Neck swellings of obscure aetiology comprised about 0.03 percent of the total neck swellings in Surgical Oncology OPD. FNAC report was inconclusive in all these cases. Axial imaging also failed to provide the diagnosis in any of these cases. However imaging was useful for deciding about resectability. Histopathology and Immunohistochemistry was the mainstay of diagnosis and surgery was curative in most cases.

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