neck lumps

Question 1

sebaceous cyst presentation

Answer 1

• painless or painful
• central punctum and unable to pull skin over lesion

Question 2

lipoma presentation

Answer 2

soft, painless and mobile lesion that has imprecise borders

Question 3

neurofibroma presentation

Answer 3

• painless, mobile and flesh-coloured lesions
• indicators of neurofibromatosis will be given

Question 4

thyroglossal cyst presentation

Answer 4

• under 20 years old
• lesions moves up and down on sticking out tongue

Question 5

dermal cyst presentation

Answer 5

• under 20 years old
• soft, immobile and midline lesion

Question 6

thyroid mass presentation

Answer 6

moves up and down on swallowing with symptoms of hypo/hyperthyroidism

Question 7

lymph nodes presentation

Answer 7

• occasionally tender
• most common if lump has been there for less than 3 weeks
• recent infection

Question 8

malignancy presentation

Answer 8

• painless, firm and irregular node
• usually local spread of head and neck cancer, lymphoma and leukaemia or metastatic disease

Question 9

branchial cyst presentation

Answer 9

• below anterior border of sternocleidomastoid
• consistency of half filled water bottle
• cholesterol crystals on fine needle aspiration

Question 10

carotid body tumour presentation

Answer 10

• upper 1/3 of anterior border of sternocleidomastoid
• firm, pulsatile masses that move from side to side

Question 11

carotid body aneurysm presentation

Answer 11

• upper 1/3 of anterior border of sternocleidomastoid
• pulsatile mass with bruits

Question 12

cystic hygroma presentation

Answer 12

• posterior triangle
• aged 1 year or under
• lesion that trans-illuminates brightly