Neck mass

Specialty: ENT
Age group: Children

Criteria for referral to public hospital service

• Neck mass with concerning features such as rapid growth or increase in size
• Recurrent neck mass infection (more than 2 in 12 months) or a swelling that has not responded to antibiotics
• Persistent thyroglossal duct or branchial cyst that has not resolved
• Suspected malignancy identified on clinical examination or imaging.

Information to be included in the referral

Information that must be provided

• Physical examination
• Details of onset, duration, site, size, any recent changes in the size of the mass and symptoms, especially pain and tenderness
• Child's age
• Details of previous medical management including the course of treatment and outcome of treatment
• Ultrasound of the neck report (including details of the diagnostic imaging practice).

Provide if available

• CT scan results
• Statement about the parent(s) or guardian’s interest in having surgical treatment if that is a possible intervention
• If the child is neurodiverse, gender diverse or has a disability
• If the child identifies as an Aboriginal and/or Torres Strait Islander
• If the child has a preferred language other than English and if they rely on cultural or linguistic support (e.g. Aboriginal cultural support, an interpreter)
• If the child lives in out-of-home care (foster care, kinship care, permanent care or residential care)
• If the child is aged 14-18 years, do they consent that their health information is shared with their parent, guardian or carer.

Additional comments

The Minimum information for referrals to non-admitted specialist services lists the information that should be included in a referral request.

Where appropriate and available the referral may be directed to an alternative specialist clinic or service.

Referral to a public hospital is not appropriate for

Not applicable.