Head and neck cancers manifested as deep neck infection

Yuan Yung Lin, Chiang Hung Hsu, Jih Chin Lee, Hsing Won Wang, Yaoh Shiang Lin, Chih Hung Wang, Chuan Hsiang Kao, Wan Fu Su, Yueng Hsiang Chu

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

The incidence of head and neck cancers in patients with an initial presentation of deep neck infection is unclear and may be underestimated. Thus, the aim of this study was to assess the incidence of head and neck cancers initially manifested as deep neck infection. Also, the possible risk factors and pathophysiology are discussed. This study was a retrospective medical chart review in a tertiary referral center. A total of 81 consecutive patients admitted with a diagnosis of deep neck infection over a 46-month period were analyzed. The demographic data, physical examinations, laboratory findings, radiographic studies, and pathology report were analyzed. Among the 81 deep neck infection patients, head and neck cancers were histologically demonstrated in four patients (4.9%) with the initial symptom of a painful neck mass. The incidence of head and neck cancer initially manifested as deep neck infection was found to increase in patients aged over 40 years (6.7%; 3/45 vs. 2.8%; 1/36). A detailed history of all patients with deep neck infection should be taken. Furthermore, endoscopic examination, thyroid examination and routine pathological examination should be performed, especially in those aged over 40. Also, careful explanation to the patient and his/her family about the possibility of underlying head and neck cancer (incidence 1-5%) may be needed. If the neck swelling diminishes, but does not disappear completely after full course of antibiotics, repeated fine needle aspiration, endoscopy, or image study should be considered.

Original languageEnglish
Pages (from-to)585-590
Number of pages6
JournalEuropean Archives of Oto-Rhino-Laryngology
Volume269
Issue number2
DOIs
Publication statusPublished - Feb 2012

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Head and Neck Neoplasms
Neck
Infection
Incidence
Fine Needle Biopsy
Tertiary Care Centers
Endoscopy
Physical Examination
Thyroid Gland
Demography
Pathology
Anti-Bacterial Agents

Keywords

  • Deep neck infection
  • Head and neck cancer

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Lin, Y. Y., Hsu, C. H., Lee, J. C., Wang, H. W., Lin, Y. S., Wang, C. H., ... Chu, Y. H. (2012). Head and neck cancers manifested as deep neck infection. European Archives of Oto-Rhino-Laryngology, 269(2), 585-590. https://doi.org/10.1007/s00405-011-1622-y

Head and neck cancers manifested as deep neck infection. / Lin, Yuan Yung; Hsu, Chiang Hung; Lee, Jih Chin; Wang, Hsing Won; Lin, Yaoh Shiang; Wang, Chih Hung; Kao, Chuan Hsiang; Su, Wan Fu; Chu, Yueng Hsiang.

In: European Archives of Oto-Rhino-Laryngology, Vol. 269, No. 2, 02.2012, p. 585-590.

Research output: Contribution to journalArticle

Lin, YY, Hsu, CH, Lee, JC, Wang, HW, Lin, YS, Wang, CH, Kao, CH, Su, WF & Chu, YH 2012, 'Head and neck cancers manifested as deep neck infection', European Archives of Oto-Rhino-Laryngology, vol. 269, no. 2, pp. 585-590. https://doi.org/10.1007/s00405-011-1622-y
Lin, Yuan Yung ; Hsu, Chiang Hung ; Lee, Jih Chin ; Wang, Hsing Won ; Lin, Yaoh Shiang ; Wang, Chih Hung ; Kao, Chuan Hsiang ; Su, Wan Fu ; Chu, Yueng Hsiang. / Head and neck cancers manifested as deep neck infection. In: European Archives of Oto-Rhino-Laryngology. 2012 ; Vol. 269, No. 2. pp. 585-590.
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