Neck swellings Flashcards Preview

Endocrine > Neck swellings > Flashcards

Flashcards in Neck swellings Deck (33)
1

Where is the anterior triangle?

Lateral border SCM
Medial is midline

2

Where is the posterior triangle?

Clavicle inferiorly
Lateral - anterior border of trapezius
Medial - lateral border of SCM

3

Which swellings are found superficially?

Sebaceous cysts
Lipomas
Neurofibromas

4

Which swellings are found in the midline?

Thyroid
Thyroglossal cyst
Dermoid cyst

5

What swellings could be present in the anterior triangle?

Salivary glands
Lymph nodes
Branchial cyst
Carotid body tumour

6

What swellings are present in the posterior triangle?

Lymph nodes
Cystic hygroma

7

Which points in a Hx are important if symptom is cervical lymphadenopathy?

Fever, weight loss
Hoarseness, dyspnoea
melena, recent immigrant

8

What investigations are needed if cervical lymphadenopathy?

CXR
Fine needle aspiration
Mantoux test or ZN stain
Check hepatospenomegaly
Check other nodes

9

What is evident in examination of a thyroglossal cyst?

Moves with the tongue
Below hyoid
Presents in teenage years

10

What is the treatment for a thyroglossal cyst?

Excision

11

What are the features of a dermoid cyst?

Presents in youth
Soft
Non-fluctant
In midline
Also found lateral to eye

12

What is a branchial cyst?

Persistent part of 2nd branchial arch.
Teenage years
Half filled water bottle

13

What may be contained in a branchial cyst?

Cholesterol crystals

14

What is a caution with branchial cysts?

May fistulate to skin and leak saliva

15

Where do cystic hygromas present?

Posterior triangle

16

In whom do cystic hygromas present?

infants

17

What are the features of cystic hygromas?

Lymph filled.
Transilluminable
Pressure symptoms

18

What is the treatment for cystic hygromas?

Will shrink over time so just leave it

19

Which cancer is most likely to appear on the ectopic thyroid tissue?

Papillary

20

If the swelling moves on swallowing where it is likely to be?

Thyroid

21

If the swelling move on sticking the tongue out what is not likely to be?

Dermoid cyst

22

What is a chemodactoma?

Carotid body tumour

23

If a swelling is soft, is it likely to be benign or malignant?

Benign

24

What is Trosier's sign?

Presence of Virchow's node

25

What is the structure called in the mouth which contains all the tonsils?

Waldeyer's tonsillar ring

26

Histologically, what kind of cancer is likely to be found in the oesophagus?

Squamous epithelial

27

Where else can cystic hygromas present?

Axilla

28

What parts of the history are particularly important in thyroid swellings?

FHx
Previous neck irradiation

29

True or False
Hoarseness could be either benign or malignant

False.
Mostly malignant.

30

Which nerve infiltration causes hoarseness?

recurrent laryngeal

31

Which investigations should be done in a thyroid swelling?

TSH
USS-FNA

32

What are the 5 responses of FNA?

Thy1- inadequate
Thy2- benign
Thy 3- suspicious
Thy4/5 malignant

33

What further investigation is carried out in Thy3?

Thyroid lobectomy