Neck Lumps Flashcards
3 superficial swellings of the neck
Sebaceous cysts
lipoma
neurofibroma
midline neck swelling that moves on swallowing
thyroid goitre
usually lump moves with tongue sticking out
usually in teens
most are suprahyoid
thyroglossal cyst
complication of having a thyroglossal cyst
thyroglossal fistula
Rx for a thyroglossal cyst
if small leave alone
otherwise = Sx and remove whole of tract
rare congenital midline neck swelling that usually presents in teens
soft ad non-fluctuant
dermoid cyst
borders of the anterior triangle of the neck
mandible, midline, SCM
brachial cyst = a persisting ___
situated in ___
usually presents at ___ (age)
2nd brachial arch
upper anterior triangle
teenage years
described as a half filled hot water bottle =
brachial cyst
on FNA of a brachial cyst you will find
cholesterol crystals
complication of a dermoid cyst
can fistulate
causes of submandibular gland swelling
stones
pleomorphic adenoma
causes of parotid gland swelling
infective = main
stone (less likely as serous secretions)
pleomorphic adenoma
borders of posterior triangle
SCM
trapezius
swelling in posterior triangle
mostly presents in <1yos
large may cause P symptoms
lymph filled and transilluminate
Cystic Hygroma
85% of neck swellings are due to
lymph nodes
examine neck in this position
partially extended neck
__% of solitary thyroid nodules are benign
__% of F will get one
95
5
investigations for a solitary thyroid nodule =
TSH
US-FNA to classify it
If Solitary thyroid nodule and TSH is suppressed may be a ___ and so ___ (Ix)
solitary toxic adenoma
isotope scan
If solitary thyroid nodule comes back Thy1 =
repeat FNA
If solitary thyroid nodule comes back Thy2 =
repeat FNA in 6 months
If solitary thyroid nodule comes back Thy3 =
lobectomy
If solitary thyroid nodule comes back Thy4/5 =
total thyroidectomy
