Lymph nodes in the neck

Diagnosis

Examination by a specialist. Swelling or tenderness in the neck.

Causes

Infections (e.g. colds, tonsillitis)

Inflammatory conditions

Rarely: malignant changes

Treatment options

Depending on the cause:

Antibiotics for bacterial infections

Anti-inflammatory medication

Surgery:

Removal in cases of persistent swelling

Biopsy if malignant causes are suspected

Neck dissection

A neck dissection is the surgical removal of lymph nodes in the neck when a malignant disease is suspected or confirmed. The affected lymph node stations are removed together with the surrounding fatty and connective tissue; the extent is agreed beforehand in discussion and on the basis of the examinations.

Care is taken to preserve important structures, in particular nerves and major blood vessels. The operation is performed under general anaesthesia and usually requires an inpatient stay.

After the procedure

Postoperative monitoring. Adjustment of treatment according to the diagnosis.