Neck Lump

Question 1

Most common cause of neck lump?

Answer 1

Reactive lymphadenopathy

Question 2

Rubbery, painless lymphadenopathy

Answer 2

Lymphoma

Question 3

Pain while drinking alcohol

Answer 3

Rare symptom of lymphoma

Question 4

Moves upwards on swallowing

Answer 4

Thyroid swelling e.g. goitre

Look for symptoms of hypo or hyperthyroidism

Question 5

Midline, above the hyoid bone

Answer 5

Thyroglossal cyst

Question 6

Moves upwards with protrusion of the tongue

Answer 6

Thyroglossal cyst

Question 7

Midline lump in neck that gurgles on palpation

Answer 7

Pharyngeal pouch

NB usually not seen - symptoms include dysphagia, regurgitation, chronic cough

Question 8

Left side of the neck, transilluminates

Answer 8

Cystic Hygroma

Question 9

Neck lump present at birth then regresses

Answer 9

Infanile haemangioma

Question 10

Anterior to the sternocleidomastoid. below the angle of the mandible

Answer 10

Branchial cyst

Question 11

Pulsatile lateral neck mass which does not move on swallowing

Answer 11

Carotid aneurysm