Neck Lumps Flashcards Preview

MedED Year 3 Breast + Neck Lumps > Neck Lumps > Flashcards

Flashcards in Neck Lumps Deck (13)
Loading flashcards...
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

Key features of neck lumps for diagnosis?

Deep lump = thyroid
Superficial = lipoma, epidermal/dermoid cyst, abscess

Moves on swallowing = thyroid gland
Moves on tongue protrusion = thyroglossal cyst