Neck mass

Availability

North South North West Statewide

Pre-referral work-up

History

All referrals should comply to the referral standards and include:

  • Complete head and neck examination – pain/pain-free
  • History of dyspnoea, hoarseness or dysphagia

Tests

  • Non-inflammatory
    • Ultrasound + FNA
    • CT scan neck/chest
    • Open biopsy is contraindicated
  • Inflammatory
    • FBE, ESR
    • Cultures if indicated
    • Other tests if indicated – TB, HIV, Cat Scratch, IM, Toxoplasmosis
    • Ultrasound or CT if persists > 4 weeks

Interim/GP management

To refer a patient with this condition, please see the ENT clinic page for the full referral process and templates.

Direct link to Health Pathways - Neck Lumps in Adults page

For more information please see the Tasmanian Health Pathways website.

Emergency

Stridor or breathing obstruction

Urgent / category 1

  • Proven neoplasia
  • Inflammatory mass persisting >4 weeks

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405  Fax: (03) 6348 7382
MCH ED – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED – Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6100  Fax: (03) 6173 0489

Urgent:

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Semi-urgent:

We will endeavour to see these patients within 12 weeks

Routine:

Next available appointment