Of the 800 lymph nodes throughout the body is almost (30% of them) 300 lymph nodes in head and neck are so often either metastasis or spreading the infection appears as sweeling of lymph nodes in head neck.
Diagnosis of a lump in the neck requires knowledge of the structure of the normal anatomy of the neck. M. Sternocleidomastoid should be palpated from the top down to ensure there any enlargement of the lymph vessels in the neck jugular.
It is also necessary to distinguish lymph node lump, lump in the thyroid is located in the midline where the thyroid gland and parotid lump which is located in the parotid area preaurikula to the inferior mandibular arch.
Knowledge of anatomy that needs to be understood to include the anatomy of the neck dissection: platisma m, m. sternokleidomastoideus, m. omohioid, m. digastrikus, m. trapezius, mandibular ramus of n. facial, brachial n, n. phrenicus, n. spinal accessory, n. hipoglosus, torachicus duct.
Figure 6. Graph Algorithms evaluation and management of lumps in the neck
