Neck lumps

Question 1

Neck lump + history of local infection or a generalised illness

Answer 1

Reactive lymphadenopathy

Question 2

• Flutuant, non-tender, non-translucent mass, anterior to sternocleidomastoid
• Does not move on swallowing or tongue protrusion

Answer 2

Brachial cyst

Question 3

• Midline, cystic swelling is noted in the region of the hyoid bone
• Move upwards when swallowing or sticks tongue out.
• More common <20 yrs

Answer 3

Thyroglossal cyst

Question 4

• More common in older men
• Midline lump in the neck that gurgles on palpation
• Typical symptoms are dysphagia, regurgitation, aspiration and chronic cough, halitosis

Answer 4

Pharyngeal pouch

Question 5

• Lymphangioma typically found in the neck, classically on the left side
• Most are evident at birth, around 90% present before 2 years of age
• Newborn with Large, left sided swelling of neck that is soft, fluctuant and high translluminable

Answer 5

Cystic hygroma

Question 6

• More common in adult females
• Around 10% develop thoracic outlet syndrome

Answer 6

Cervical rib

Question 7

Pulsatile lateral neck mass which doesn’t move on swallowing

Answer 7

Carotid aneurysm

Question 8

• Rubbery, painless lymphadenopathy
• Pain on drinking alcohol
• Night sweats and splenomegaly

Answer 8

Lymphoma

Question 9

• Neck swelling
• Weight loss
• Midline, non tender neck swelling
• Moves UPWARDS on swallowing

Answer 9

Goitre

Question 10

• Cat owner
• Systemic Sx : abdo pain, lethargy, sweats
• Lympadenopathy in posterior triangle

Answer 10

Bartonella infection (cat scratch)