Controversies in Workup and Diagnosis of Cervical Lymphadenopathy

Saturday, September 28, 2024

4:00 PM – 5:00 PM EDT

Location: MBCC, 208

CME/MOC Credit: 1

Disclosure(s):

Arielle G. Thal, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Alice L. Tang, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Alexandra E. Kejner, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

David M. Cognetti, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

PROGRAM DESCRIPTION: The focus of this session is to clarify the workup for an adult patient with a neck mass. We will review the clinical practice guidelines for the workup of cervical lymphadenopathy and identify common deviations from this workup that are seen as referrals in head and neck surgical oncology practice. Through case-based presentations, we will examine the nuance of obtaining a history and physical exam and identify how the information elicited from the history and physical impacts the decision-making in obtaining one imaging modality or tissue diagnostic over another. We will review the strengths and weaknesses of each imaging modality (US, CT, MRI) and tissue diagnostic (FNA, core needle biopsy, excisional vs incisional biopsy). Three cases will be presented with differential diagnoses including but not limited to thyroid pathology, salivary pathology, lymphoma, benign lymphadenopathy, and upper aerodigestive tract squamous cell carcinoma. We will work through each case and discuss the rationale for the chosen radiologic and tissue diagnostics with commentary and insight from our expert panel. This topic has been identified as a knowledge gap and this session aims to provide general practitioners and comprehensive otolaryngologists with further guidance on a common consult seen in general practice as well as to identify patients who may benefit from early referral to head and neck oncology.

Learning Objectives:

Identify core components of the clinical practice guideline for evaluation of a neck mass in adults and identify common deviations from the guideline.
Review the most frequently used imaging modalities for the workup of a head and neck mass (including US, CT, MRI) and discuss the utility of each in obtaining a diagnosis depending on the differential (ex: thyroid vs salivary vs lymphoma).
Review FNA, core needle biopsy and open biopsy to discuss the benefits and risks of each and the diagnostic yield of each method based on the differential diagnosis.

Moderator(s)

AT

Arielle G. Thal, MD

Assistant Professor
Department of Otolaryngology - Head & Neck Surgery, Thomas Jefferson University Hospital
Philadelphia, PA, United States

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Panelist(s)

AT

Alice L. Tang, MD

Associate Professor
University of Cincinnati MedicalCenter/College of Medicine
Cincinnati, OH, United States

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.
Alexandra E. Kejner, MD

Associate Professor of Head and Neck Surgical Oncology/Microvascular Reconstruction
Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC
Charleston, SC, United States

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.
David M. Cognetti, MD

Professor and Chair
Thomas Jefferson Univ Hosp
Penn Valley, PA, United States

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.