Hypoechoic plaques in the neck can cause enlarged lymph nodes in the neck. For hyperechoic plaque nodules in the neck, most of the cases are caused by their own enlarged lymph nodes, for the cause of enlarged lymph nodes can be viral, bacterial infection caused by inflammation, resulting in enlarged lymph nodes. It is also possible that malignant tumors in other parts of the body reach the cervical lymph nodes through the lymphatic system, causing lymph node enlargement. As well as the patient’s own existence of some blood system diseases, such as lymphoma, leukemia caused by the swelling of the lymph nodes in the neck, for this case need to carry out a puncture under the pathology examination can be clearly diagnosed. For such cases, pathological examination under puncture is needed to make a clear diagnosis. Patients with enlarged lymph nodes in the neck should consult a doctor in time and listen to the professional opinion of the doctor for treatment to avoid delaying the condition.