Neck Lumps

Question 1

3 superficial swellings of the neck

Answer 1

Sebaceous cysts
lipoma
neurofibroma

Question 2

midline neck swelling that moves on swallowing

Answer 2

thyroid goitre

Question 3

usually lump moves with tongue sticking out
usually in teens
most are suprahyoid

Answer 3

thyroglossal cyst

Question 4

complication of having a thyroglossal cyst

Answer 4

thyroglossal fistula

Question 5

Rx for a thyroglossal cyst

Answer 5

if small leave alone

otherwise = Sx and remove whole of tract

Question 6

rare congenital midline neck swelling that usually presents in teens
soft ad non-fluctuant

Answer 6

dermoid cyst

Question 7

borders of the anterior triangle of the neck

Answer 7

mandible, midline, SCM

Question 8

brachial cyst = a persisting ___
situated in ___
usually presents at ___ (age)

Answer 8

2nd brachial arch
upper anterior triangle
teenage years

Question 9

described as a half filled hot water bottle =

Answer 9

brachial cyst

Question 10

on FNA of a brachial cyst you will find

Answer 10

cholesterol crystals

Question 11

complication of a dermoid cyst

Answer 11

can fistulate

Question 12

causes of submandibular gland swelling

Answer 12

stones

pleomorphic adenoma

Question 13

causes of parotid gland swelling

Answer 13

infective = main
stone (less likely as serous secretions)
pleomorphic adenoma

Question 14

borders of posterior triangle

Answer 14

SCM

trapezius

Question 15

swelling in posterior triangle
mostly presents in <1yos
large may cause P symptoms
lymph filled and transilluminate

Answer 15

Cystic Hygroma

Question 16

85% of neck swellings are due to

Answer 16

lymph nodes

Question 17

examine neck in this position

Answer 17

partially extended neck

Question 18

__% of solitary thyroid nodules are benign

__% of F will get one

Answer 18

95

5

Question 19

investigations for a solitary thyroid nodule =

Answer 19

TSH

US-FNA to classify it

Question 20

If Solitary thyroid nodule and TSH is suppressed may be a ___ and so ___ (Ix)

Answer 20

solitary toxic adenoma

isotope scan

Question 21

If solitary thyroid nodule comes back Thy1 =

Answer 21

repeat FNA

Question 22

If solitary thyroid nodule comes back Thy2 =

Answer 22

repeat FNA in 6 months

Question 23

If solitary thyroid nodule comes back Thy3 =

Answer 23

lobectomy

Question 24

If solitary thyroid nodule comes back Thy4/5 =

Answer 24

total thyroidectomy