Navigating Diagnostic Uncertainty: A Neck Swelling in an Elderly Patient Prompting Reflection on Over-investigation.

Indian J Otolaryngol Head Neck Surg

Department of Otorhinolaryngology, St Johns Medical College, Bangalore, Karnataka 560034 India.

Published: January 2025

A brief communication report highlighting a 69-year-old male with a history of chronic conditions who presented with a persistent neck swelling following an upper respiratory tract infection. Despite multiple benign findings from various diagnostic procedures, the patient's anxiety about a potential malignancy led to repeated investigations, culminating in a left-sided neck dissection. The case underscores the challenges of managing patient-driven demands for certainty in an era of defensive medicine, where physicians may feel compelled to order excessive tests. This over-investigation not only increases healthcare costs and exposes patients to unnecessary risks but also strains healthcare resources.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11890881PMC
http://dx.doi.org/10.1007/s12070-024-05151-3DOI Listing

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