Flashcards in Neck Lumps Deck (13)
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)
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)
Infectious signs and differentials with neck lumps?
Lymphadenopathy, fever, fatigue
- glandular fever, HIV
Malignant signs and differentials with neck lumps?
Lymphadenopathy, night sweats, pain, weight loss, fatigue, growing lump
- thyroid cancer
- salivary gland cancer
Endocrine differentials of neck lump?
Dermatological differentials of neck lump?
Sebaceous cyst (from blocked sebaceous glands/hair follicles)
Lipoma (benign tumour of fat tissue)
Vascular differentials of neck lump?
Carotid body aneurysm
Congenital/developmental differentials of neck lump?
Thyroglossal cyst (persistent thyroglossal duct)
Lateral neck lumps malignancy potential in
Children >75% lateral neck lumps are benign
Adults >75% lateral neck lumps are malignant
Lateral neck lump differentials?
Carotid/subclavian artery aneurysm
Salivary gland cancer
Lipoma/epidermal cyst/dermoid cyst
- assess lump with SCTF
Midline neck lump differentials?
- physiological goitre
- multinodular goitre
- Hashimoto's thyroiditis (hypothyroidism!)
- thyroglossal cyst
- solitary adenoma
- De Quervain's thyroiditis
- dermoid/epidermal cyst
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