Weds 26th January 2022 @6pm
Goodwill Values – What’s Changed?
Andy Acton & Chris Strevens
Sponsored by FTA Finance


Weds 9th February 2022 @7pm
Ensuring your practice and team thrive in 2022
Guy Meyers
Sponsored by Software of Excellence


10th February 2022 @7pm
Bioclear Method - A Predictable Solution for the Perennial Problem of Black Triangles!
Dr Claire Burgees
Sponsored by 3M


22nd February 2022 @7pm
It’s about the Team
Simon Gambold, Melonie Prebble, Flora Couper & Nikki Bell
Sponsored by Align


23rd February 2022 @7pm
“Live” CEREC Procedure: Crown in an hour using Tessera Glass Ceramic
Dr Alison Simpson
Sponsored by Dentsply Sirona



Article: Volume 48 Number 11 Page 942 - December 2021

Prev    Article P942    Next  Read article

  Dent Update 2021; 48: 942-945

Oral and Maxillofacial Surgery:  A pain in the neck: cervical lymphadenopathy in metastatic disease

CPD:  CPD  0:24   (closes in 20 days)

Feedback:  0 comments, 0 ratings


Abstract: Cervical lymphadenopathy can serve as a silent progressive indicator of systemic pathology and metastatic disease. Incidental or asymptomatic cervical lymphadenopathy can present a clinical dilemma when deciding on appropriate referral pathways and in specialist investigations. Metastasis to the head and neck may be more easily identified than locating the primary tumour site, which often requires a multitude of investigations to achieve an accurate diagnosis. As highlighted in this case report, primary care dentists play a central role in identification of patients with cervical lymphadenopathy who may require urgent specialist input in the context of subclavicular disease.

Clinical relevance: This article highlights the clinical assessment of cervical lymphadenopathy and the investigatory tools used in secondary care to facilitate diagnosis.

Author notes: Jaspreet Virdee, BDS, MFDS RCSEd, Specialty Registrar Oral Surgery, Royal National ENT and Eastman Dental Hospitals, University College London Hospitals Trust, Roya Hazara, BDS MFDS, Specialty Doctor Oral and Maxillofacial Surgery; Michael Amin, BDS(Hons), FDSRCS(Eng), MBBS(Hons), FRCS(Eng), FRCS (OMFS) Consultant Oral and Maxillofacial Surgeon, Wexham Park Hospital, Slough. email:

Objective: The reader should understand the important role of primary care dentists in assessing cervical lymphadenopathy, and the potential for subclavicular disease as a differential diagnosis.