Neck lumps Flashcards Preview

Y4 Important to learn > Neck lumps > Flashcards

Flashcards in Neck lumps Deck (4)
Loading flashcards...
1

Chemodectoma 

- what's that 

- characteristics

Chemodectoma 

  • tumour of carotid body chemoreceptors arising from the carotid bifurcation 
  • it is usually benign 

 

Presentation:

- slowly enlarging neck mass

- demonstrates transient carotid pulsation 

- mobilises side - side but not up-down

- pressure on the tumour → dizziness, syncope (as vagal tone is stimulated)

 

Ix: carotid angiogram → highly vascularized tumour at the carotid bifurcation 

Rx: surgical excision 

2

Pleomorphic adenoma

what's that? 

characteristics?

Pleomorphic adenoma →benign tumour of salivary gland ​

Most common in 40-50s 

Risk factor: radiation

Characteristics:

  • neck lamp
  • hard
  • painless
  • mobile 
  • near to angle of jaw
  • no evidence of facial n. involvement

 

Treatment: excision of the tumour

3

Salivary gland carcinoma

features, treatment, prognosis

Salivary gland carcinoma: aggressive and rare tumour; most commonly occurs in parotid gland

  • 3x more common in men 
  • rarely occurs in <50 yo

 

Characteristics: 

- rapidly growing mass

- features of infiltration e.g. palpable regional lymph nodes and facial nerve involvement

 

Treatment: parotidectomy with radiotherapy

Poor prognosis

4