Neck Lumps

Question 1

What are the neck lumps that may appear in the midline?

Answer 1

Dermoid cyst
Thyroglossal cyst
Goitre

Question 2

Describe a dermoid cyst.

Answer 2

Patients <20
Congenital
Soft, non-fluctuant
Contains epidermis, hair follicles, sebaceous glands

Question 3

Describe a thyroglossal cyst

Answer 3

Moves on tongue protrusion

Treated by surgery

Question 4

What swellings may be seen in the anterior triangle?

Answer 4

Lymphadenopathy
Branchial cyst
Carotid body tumour (chemodecta)
Carotid aneurysm
Salivary glands

Question 5

What would make you think a lymphadenopathy was haematological?

Answer 5

Hepatosplenomegaly

B-symptoms

Question 6

Describe branchial cyst

Answer 6

Anterior border of sternomastoid
Non-disappearance of cervical sinus
FNA shows cholesterol crystals
Presents in teenagers
Can fistulate

Question 7

Describe carotid body tumours

Answer 7

Firm and pulsatile
No bruits
Diagnosed by US
Vascular surgery

Question 8

Describe carotid aneurysms

Answer 8

Fluctuant

Assoc with bruit

Question 9

What might cause a salivary gland swelling?

Answer 9

Stone
Pleomorphic adenoma
Carcinoma

Question 10

What swelling may appear in the posterior triangle?

Answer 10

Cystic hygroma

Question 11

Describe a cystic hygroma

Answer 11

Macrocystic lymphatic malformation
Transilluminates brightly
Present in first year
Treated with surgery or hypertonic saline sclerosant