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Boies > Chapter 22: Benign Neck Mass > Flashcards

Chapter 22: Benign Neck Mass Flashcards

1
Q

Superior boundary of neck

A
  1. Lower border of the mandible
  2. Mastoid tips
  3. Superior nuchal line
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2
Q

Inferior border of the neck

A
  1. Suprasternal notch
  2. Clavicles
  3. Horizontal line through the spinous process of the 7th cervical vertebra
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3
Q

Divides each side of the neck into 2 triangles

A

Sternocleidomastoid

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4
Q

Most masses appear in the…

A

Anterior cervical triangle

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5
Q

The more likely the neck is malignant

A

The older the patient

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6
Q

Preferred method of diagnosing a neck mass when immediate excision is not indicated

A

FNAB

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7
Q

Vestigial remnants of the fetal branchial apparatus from which all neck structures are derived

A

Branchial cleft cysts

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8
Q

Early development there are

A

5 branchial arches

4 grooves

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9
Q

Rapid growth of the 1st and 2nd arches and the epipericardial ridge submerges the 3rd and 4th branchial arches and the 2nd, 3rd and 4th branchial clefts into a large cavity known as the…

A

Cervical sinus of His

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10
Q

Future SCM muscle

A

Epipericardial ridge

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11
Q

Usually present as a bulge or sinus tract opening along the anterior border of the SCM muscle

A

Most branchial clefts cysts (develop from 2nd, 3rd and 4th arches)

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12
Q

Presents between ages 20 and 30 as a smooth, painless, slowly enlarging mass in the lateral neck

A

Branchial cleft cyst

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13
Q

Treatment of branchial cleft cyst

A

Complete surgical removal of the cyst and tract

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14
Q

First seen as a ventral midline diverticulum of the floor of the pharynx just caudal to the junction of the 1st and 2nd branchial arches at the site known as the foramen cecum

A

Thyroid gland

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15
Q

Midline cysts found anywhere between the base of the tongue and superior border of the thyroid gland

A

Thyroglossal duct cyst

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16
Q

Midline cyst that elevates with swallowing

A

Thyroglossal duct cyst

17
Q

Treatment of thyroglossal duct cysts

A

Complete excision of both the cyst and the entire thyroglossal duct tract up to the foramen cecum at the base of the tongue

18
Q

Sistrunk procedure

A

Removal of the central portion of the hyoid bone to ensure complete removal of the tract

19
Q

A lymphangioma that arises from vestigial lymph channels in the neck

A

Cystic hygroma

20
Q

Present as a relatively simple thin-walled cyst in the floor of the mouth or may involve all the tissues from the floor of the mouth down to the mediastinum

A

Cystic hygroma

21
Q
  1. 80% of the time there is only a painless cyst in the posterior cervical triangle or in the supraclavicular area
  2. Present by the age of 2
  3. Tx: complete surgical excision (if regression fails to occur)
A

Cystic hygroma

22
Q

Last step in the work-up of a neck mass

A

Biopsy

23
Q

Tender neck nodes…

A

Infectious

24
Q

Painless neck nodes…

A

Metastatic disease

25
Q

Multiple regions of enlarged lymph nodes

A

Systemic disease

26
Q

Solitary nodes…

A

Metastatic

27
Q

Consider an enlarging cervical lymph node in an individual over 60 years of age as…

A

Malignant until proven otherwise

28
Q

One of the most common presenting symptoms in patients with Hodgkin’s and non-Hodgkin’s lymphoma

A

Cervical adenopathy

29
Q

Can present as rapid growth of any area of Waldeyer’s ring

A

Lymphoma

30
Q

Most common cancer that metastasizes to the cervical lymph nodes…

A

Squamous cell cancer

31
Q

Supraclavicular nodes…

A

Metastatic disease from the lung

32
Q

Posterior triangle nodes…

A

Metastatic disease from the nasopharynx

33
Q

Metastatic cervical node is referred to as an…

A

Unknown primary or occult primary

34
Q

Represents metastatic disease from the thyroid gland, salivary glands or GIT

A

Adenocarcinoma in a cervical node

35
Q
  1. Group of tumors known as chemodectomas
  2. Derived from the chemoreceptive tissue of the head and neck
  3. Firm, round, slowly growing mass at the carotid bifurcation
  4. CT: highly vascular mass at the carotid bifurcation
A

Carotid body tumors

36
Q

Neurogenic tumors

A
  1. Neurilemmomas

2. Neurofibromas

Boies (27 decks)

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