neck lumps Flashcards

1
Q

salivary gland tumours:

  • most common gland affected?
  • most common type of tumour? (describe)
  • age most affected?
A
  • 80% parotid gland
  • 80% pleomorphic adenoma

norm presents age 30-50

  • slow growing tumour but has potential to turn malignant
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2
Q

parotid tumours:

  • symptoms?
  • red flags for malignancy? 5
  • investigation?
  • treatment?
A
  • painless, slow growing lump over parotid gland (normally nearer ear)

RED FLAGS

  • facial nerve palsy (or any parasthesia)
  • history of radiation to neck
  • pain
  • rapid increase in size
  • ulceration of overlying skin (or underlying mucosa)
  • USS with guided FNA
  • surgery (occasionally with radiotherapy)
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3
Q

differential diagnoses for salivary gland swelling:

  • parotid gland? 5
  • submandibular gland? 2
  • minor salivary glands? 2
A

parotid:

  • stone in salivary duct (most common)
  • bacterial parotitis (norm unilateral)
  • mumps (viral parotitis, both sided)
  • benign + malignant tumours
  • sjorgens syndrome (painless, bilateral)

nb also rare things like HIV-associated, wegeners granulomatosis, sarcoidosis

submandibular:
- stone in salivary duct
- benign + malignant tumours
(-sjorgens syndrome - less common)

minor:

  • mucoceles
  • benign + malignant tumours
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