Neck Lumps

Question 1

What can be the cause of superficial swellings?

Answer 1

Sebaceous cyst, lipomas, neurofibromas

Question 2

What can be the cause of midline swellings?

Answer 2

Thyroid, thyroglossal cyst, dermoid cyst

Question 3

What can be the cause of anterior triangle swellings?

Answer 3

Lymph nodes, branchial cyst, salivary glands, carotid body tumour

Question 4

What can be the cause of posterior triangle swellings?

Answer 4

Lymph nodes, cystic hygroma

Question 5

How will a thyroglossal cyst likely present?

Answer 5

Lump in neck-arise in any part of thyroglossal tract. Moves with tongue, usually presents in teenage years

Question 6

How will a branchial cyst present?

Answer 6

Persisting second branchial arch, upper part ant. triangle, teenage years. Appears as a half filled hot water bottle, can fistulate

Question 7

What will FNA of a branchial cyst find?

Answer 7

Cholesterol crystals

Question 8

How does a cystic hygroma present?

Answer 8

Majority in first year, large, pressure symptoms, lymph filled, transilluminate

Question 9

What can be the cause of a swollen salivary gland?

Answer 9

Stone, pleomorphic adenoma, infection