Cervical lymphadenopathy is common and usually benign or self-limiting. Treatment of any identified cause and observation is generally all that is needed for mild localised cases with no suspicious features. Persistent cases with unidentified causes require further investigation.
- There is no substitute for a thorough history and physical examination.
- Most cases of cervical lymphadenopathy are benign or self-limiting.
- Patients should be referred early if there is a high clinical suspicion of malignancy.
- In cases of persistent unexplained lymphadenopathy, tissue diagnosis is the key.
- The empirical treatment of patients with persistent unexplained lymphadenopathy with antibiotics or corticosteroids should be avoided.