NECK MASSES

Question 1

Carotid body tumors
Mode of inheritance
Age
Growth?
Features?

Answer 1

Inheritance = Carotid body tumors may arise sporadically or may be inherited. The mode of inheritance in patients with MEN 2 syndrome is autosomal dominant.
Age = Older ages (50s and 60s).
Growth = These tumors are rare and slow-growing
Features = Below 6 cm in size and are not associated with pain.
Although benign, they frequently metastasize to lymph nodes and other sites

Question 2

The mode of inheritance of carotid body tumor in patients with MEN 2 syndrome is ___________ .

Answer 2

autosomal dominant

Question 3

Carotid body tumors are ________ glowing tumors and _________ (painful/painless)

Answer 3

slow growing
painless

Question 4

Carotid body tumors are usually below _____ in size

Answer 4

6 cm

Question 5

Carotid body tumors tend to occur in __________ (AGE)

Answer 5

older ages (50s and 60s)

Question 6

What is a branchial cyst?

Answer 6

A branchial cyst presents as a swelling in the upper part of the neck anterior to the sternocleidomastoid muscle

Question 7

What are the features of a branchial cyst?

Answer 7

It is smooth, round, fluctuant, non-tender, and does not transilluminate

Question 8

Branchial cysts are common in the _______ decade of life.

Answer 8

second

Question 9

What is a thymic cyst and from where is it derived?

Answer 9

A thymic cyst is either cystic or solid and presents as a neck mass anterior and deep to the middle third of the sternocleidomastoid muscle. It develops from the third pharyngeal pouch.

Question 10

_____________ usually occurs in the posterior triangle of the neck

Answer 10

Cystic hygroma

Question 11

Cystic hygroma is AKA _____________

Answer 11

It is also known as lymphangioma which arises from obstruction of the jugular lymphatic sac.

Question 12

What is a thyroglossal duct cyst and tell its distinguishing feature?

Answer 12

The Thyroglossal duct cyst presents as a cystic midline swelling and moves with tongue protrusion because of its attachment to the foramen cecum at the base of the tongue

Question 13

What is a sublingual cyst?

Answer 13

A sublingual cyst presents as midline cystic swelling. It is unlikely to move upon protrusion of the tongue as it is not a mobile swelling and is not attached to the foramen cecum.

Question 14

__________ neck dissection or anterolateral dissection involves removal of level Ito III lymph nodes

Answer 14

Supraomohyoid

Question 15

Supraomohyoid neck dissection includes __________, ___________, ___________, and ___________ nodes.

Answer 15

Submental
Submandibular
Upper jugular
Mid jugular