Intended for healthcare professionals

Practice 10-Minute Consultation

An adult with a neck lump

BMJ 2013; 347 doi: (Published 28 October 2013) Cite this as: BMJ 2013;347:f5473

This article has a correction. Please see:

  1. Raghav C Dwivedi, senior head and neck fellow1,
  2. Liam Masterson, specialty registrar in ear, nose, and throat surgery1,
  3. Mostayn Alam, GP registrar2,
  4. Piyush Jani, consultant head and neck surgeon1
  1. 1Department of Otolaryngology and Head and Neck Surgery, Cambridge University Hospitals NHS Trust, Cambridge CB2 0QQ, UK
  2. 2Nuffield Road Medical Centre, Cambridge CB2 0QQ, UK
  1. Correspondence to: L Masterson lmm398{at}, R Dwivedi raghav.rmh{at}
  • Accepted 7 August 2013


A 40 year old man presents with a 1 cm tender soft swelling in the lateral neck region. This developed seven days after the onset of a tonsillitis episode that has now resolved. He has a 20 pack-year smoking history and consumes minimal alcohol. Examination is otherwise normal.


  • This is part of a series of occasional articles on common problems in primary care. The BMJ welcomes contributions from GPs.

  • We thank Fiona Walter, GP principal and senior lecturer, Rachel Morris, assistant director of studies, and Juliet Usher-Smith, GP registrar and academic clinical fellow, Primary Care Unit, University of Cambridge; and Anthony Males, senior partner, York Street Medical Practice, Cambridge, for their expert review and constructive feedback.

  • Contributors: LM and RCD are joint first authors. MA and PJ contributed to subsequent editing. RCD is the guarantor.

  • Competing interests: We have read and understood the BMJ Group policy on declaration of interests and have no relevant interests to declare.

View Full Text

Log in

Log in through your institution


* For online subscription