Neck masses/cancer Flashcards
1
Q
what are 2 triangles of neck
A
- anterior
- submandibular
- carotid
- muscular - post. triangle
- occipital
- supraclavicular
2
Q
3 main things to take into account
A
- age
- young mostly benign
- older need to think - location
- congenital are consistent in locaiton - etiololgy
- inflamm
- congential
- neoplastic
3
Q
what are common Sx for inflamm
A
- pain
- infections
- fever
- younger
4
Q
what are common Sx for malig
A
- pain can be reffered
- weight loss
- Ca risk factors
- older
5
Q
5 features of inflammatory nodes
A
- tender
- rubbery
- not hard
- mobile
5.
6
Q
5 features of malig. nodes
A
- non-tender
- not rubbery
- rock hard
- fixed or matted
- > 2 cm
7
Q
what to do for infammation
A
broad spectrum ABs
- follow up to see if resolves
8
Q
what to do for malig.
A
CT and FNA
9
Q
4 DDx for midline mass
A
- congential
- cysts - inflammatory
- thryoiditis
- lymphadentitis - neoplastic benign
- nodule - neoplastic malig.
- Ca
10
Q
5 DDx for lateral cysts
A
- brachial cleft cyst
- lymphadenopathy
- laryngocoels
- thymic cysts
- mets
11
Q
4 etiologies of thyroid masses
A
- inflammatory
- thyroiditis - benign
- cyst
- adenoma
- goiter - magig
- papillary most common - mets
- dephian node
12
Q
what is indication of malignancy
A
- rapid increase in size
- vocal cord paralysis
13
Q
main risks for thyroid CA
A
- rads exposure
- fam Hx
14
Q
4 steps to diagnose
A
- H+P
- TSH
- FNA
- U/S
15
Q
3 Tx for thyroid Ca
A
- ectomy
- hormone supression
- radioactive iodine
16
Q
what are most oral CAs
A
SCC
- non healing ulcer
- dysphagia
- otalgia
17
Q
risks for oral CA
A
- smoking
- alcolhol
- chew
- HPV
18
Q
Tx of oral
A
- surg
- rads and chem
19
Q
what is role of HPV
A
- mostly in younger
- types 16+18
- better prog. if HPV related
20
Q
risk factors for nasopharyngeal CA
A
- chinese
- EBV
- salted fish/meat
21
Q
Tx for nasopharyngeal
A
rads +/- chemp
22
Q
what is laryngeal CA
A
45% of H+N CA
- most often on cords
- smokers
23
Q
Sx of laryngeal CA
A
- hoarseness
- dysphagia
- stridor
