Systematization of neck masses propaedeutics - from Primary to Tertiary Care: experience report

Abstract

Introduction: Neck masses are frequent causes of referrals to otorhinolaryngology clinics, often with little approach in primary health care. Therefore, the lack of a usual approach can make the attending physician unsafe and prone to error, thus, it is necessary to elaborate a propaedeutic routine for diagnosis of neck masses. Development: From a literature review of scientific articles collected on MEDLINE, LILACS and PUBMED portals using specific descriptors such as: necklump; head and neck cancer; epidemiology of head and neck cancer and using specific medical literature, a flowchart had been prepared for initial diagnosis of neck masses. Conclusion: The authors sought a practical form, easy to remember and applicable, appropriate to public institutions, aiming better care, minimizing risks as well as the qualifications of professionals, targeting on the differential diagnosis between malignant and benign diseases, and what can be done at primary level of health care.