1) A neck mass was evaluated through a clinical history and physical examination. The history aimed to determine characteristics of the mass like duration, growth rate, and location as well as risk factors for infection or cancer.
2) The physical examination inspected for asymmetry, skin changes, movement on swallowing, and carefully examined the cervical lymph nodes, thyroid, salivary glands, oral cavity, and other head and neck structures.
3) Based on the history and exam, the doctor formulated initial diagnostic impressions and considered further tests like biopsy or imaging if needed to reach a probable diagnosis or rule out cancer if the diagnosis remained uncertain.