There is a lump near the collarbone in the neck

A lump near the clavicle on the neck may be caused by a bump on the clavicle, or it may be caused by cervical neurothecoma and lymphangioma. We should use CT to examine it and then treat it according to the cause of the disease. If the swelling is caused by a broken clavicle, we should drain the blood stasis, then graft the fractured part, and finally protect the clavicle.

In terms of age, infants and young children mostly suffer from congenital masses, such as thyroglossal duct cysts, branchial cleft cysts, cystic hygromas, etc.; adolescent patients mostly suffer from inflammatory lymphadenopathy; young and middle-aged patients should be alert to malignant tumors; and elderly patients mostly suffer from metastatic malignant tumors.

In terms of location, thyrohyoid cysts and thyroid tumors are often located in the midline area of ​​the neck, branchial cleft cysts, salivary gland tumors, cervical schwannomas, and carotid body tumors are often located in the lateral neck area, and lymphangioma and metastatic cancers from the lungs and digestive tract are often located in the posterior neck area.

In terms of the nature of the tumor, malignant tumors of the neck are generally hard and have poor mobility. Metastatic cancer in the neck may cause multiple lumps, but the tenderness is not very obvious. Benign neck tumors are generally of medium texture, with clear boundaries and good mobility. Branchial cleft cysts, cystic hygromas, and epidermoid cysts are cystic tumors, but some thyroid metastatic cancers can also appear cystic.

Inflammatory masses in the neck have symptoms of redness, swelling, heat and pain. Acute cases have systemic symptoms including fever, fatigue, loss of appetite and increased total white blood cell count. When an abscess is formed, there will be obvious tenderness and pitting edema on the local skin, and superficial abscesses can be detected with obvious fluctuation.

treat

Neck masses have complex tissue origins, different biological characteristics, and different treatment options. The treatment plan for inflammatory masses is anti-inflammatory treatment and treatment of the primary lesion; when an abscess is formed, puncture and incision are required to drain the pus. Specific inflammation requires treatment directed at the cause, such as cervical lymph node tuberculosis should be treated with anti-tuberculosis treatment. The treatment option for congenital neck masses and benign neck masses is surgical resection. If the neck lump is a malignant tumor, the treatment plan will be different depending on the source of the tumor. Treatment options for malignant lymphoma of the neck are radiation therapy and chemotherapy. The treatments for cervical lymph node metastasis include surgery, radiotherapy, surgery plus radiotherapy, radiotherapy plus chemotherapy, and other treatment options. The specific treatment plan required should be based on comprehensive considerations such as the pathological type, degree of muscle differentiation, lymph node size and number, presence or absence of extracapsular invasion of the lymph nodes, location of the primary tumor and treatment measures for the primary lesion, and the patient's general condition. Except for anaplastic thyroid cancer, the mainstay of treatment for thyroid cancer is surgery. For differentiated thyroid cancer that cannot be removed surgically or has distant metastasis, I (iodine) isotope therapy can be used.