A careful medical history can provide important clues to the diagnosis of a neck mass.1 The patient's age and the size and duration of the mass are the most significant predictors of neoplasia.1 The patient's age is most important, because the risk of malignancy becomes greater with increasing age.2
Shortness of breath is a common symptom. Some patients have troublesome dry cough and others may have pain in the chest. Tiredness, lethargy, listlessness and joint pains are common. Sarcoidosis may also cause fever and weight loss.
Sarcoidosis frequently causes mild symptoms and resolves on its own. The most common symptoms of lung involvement are cough, shortness of breath, and chest pain. The chest pain is usually no more than a vague tightness of the chest, but can occasionally be severe and similar to the pain of a heart attack.