Flashcards in Neck Lumps Deck (13)
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1
Borders of the anterior triangle of the neck?
Median line of the neck (medial border)
Anterior border of the SCM (lateral border)
Inferior border of the mandible (superior border)
2
Borders of the posterior triangle of the neck?
Posterior border of the SCM (anterior border)
Anterior border of the trapezius (posterior border)
Middle 1/3rd of the clavicle (inferior border)
3
Infectious signs and differentials with neck lumps?
Lymphadenopathy, fever, fatigue
- glandular fever, HIV
4
Malignant signs and differentials with neck lumps?
Lymphadenopathy, night sweats, pain, weight loss, fatigue, growing lump
- thyroid cancer
- salivary gland cancer
5
Endocrine differentials of neck lump?
Hyper/hypothyroidism goitre
6
Dermatological differentials of neck lump?
Sebaceous cyst (from blocked sebaceous glands/hair follicles)
Lipoma (benign tumour of fat tissue)
7
Vascular differentials of neck lump?
Carotid body aneurysm
8
Congenital/developmental differentials of neck lump?
Thyroglossal cyst (persistent thyroglossal duct)
Branchial cyst
9
Lateral neck lumps malignancy potential in
Children >75% lateral neck lumps are benign
Adults >75% lateral neck lumps are malignant
10
Lateral neck lump differentials?
Carotid/subclavian artery aneurysm
Lymphadenopathy
Salivary gland cancer
Branchial cyst
Lipoma/epidermal cyst/dermoid cyst
- assess lump with SCTF
11
Midline neck lump differentials?
Thyroid
- physiological goitre
- multinodular goitre
- Graves'
- Hashimoto's thyroiditis (hypothyroidism!)
- thyroglossal cyst
- solitary adenoma
- carcinoma
- De Quervain's thyroiditis
Non-thyroid
- lipoma
- dermoid/epidermal cyst
- abscess
- lymphoma
12
Principle differences and similarities between differentials for lateral and midline neck lumps?
Skin lumps are present in both cases (lipoma, dermoid/epidermal cysts, abscesses etc)
Lateral is more focused on enlargement local structures (lymphadenopathy, aneurysms) while midline has a significant number of thyroid-related lumps
13
