Neck lumps

Question 1

Reactive lymphadenopathy
By far the […] common cause of neck swellings. There may be a history of local […] or a generalised […] illness

Answer 1

Reactive lymphadenopathy
By far the most common cause of neck swellings. There may be a history of local infection or a generalised viral illness

Question 2

Thyroglossal cyst
More common in patients < 20 years old
Location: Usually […], between the […] of the thyroid and the hyoid bone
Moves […] with protrusion of the tongue
May be painful if infected

Answer 2

Thyroglossal cyst
More common in patients < 20 years old
Location: Usually midline, between the isthmus of the thyroid and the hyoid bone
Moves upwards with protrusion of the tongue
May be painful if infected

Question 3

Pharyngeal pouch
More common in […] men
Represents a […] herniation between thyropharyngeus and cricopharyngeus muscles
Usually not seen but if large then a […] lump in the neck that […] on palpation
Typical symptoms are dysphagia, regurgitation, […] and chronic cough

Answer 3

Pharyngeal pouch
More common in older men
Represents a posteromedial herniation between thyropharyngeus and cricopharyngeus muscles
Usually not seen but if large then a midline lump in the neck that gurgles on palpation
Typical symptoms are dysphagia, regurgitation, aspiration and chronic cough

Question 4

Cystic hygroma
A […] lymphatic lesion (lymphangioma) typically found in the neck, classically on the […] side
Most are evident at birth, around 90% present before […] years of age

Answer 4

Cystic hygroma
A congenital lymphatic lesion (lymphangioma) typically found in the neck, classically on the left side
Most are evident at birth, around 90% present before 2 years of age

Question 5

Branchial cyst
An […], […] cystic mass that develops between the […] muscle and the […]
Develop due to failure of obliteration of the second branchial cleft in embryonic development
Usually present in early […]

Answer 5

Branchial cyst
An oval, mobile cystic mass that develops between the sternocleidomastoid muscle and the pharynx
Develop due to failure of obliteration of the second branchial cleft in embryonic development
Usually present in early adulthood

Question 6

Carotid aneurysm
[…] lateral neck mass which […] move on swallowing

Answer 6

Carotid aneurysm
Pulsatile lateral neck mass which doesn’t move on swallowing