Neck Lumps (swelling)
Cervical swellings ◼ Ant and post triangles by sternomastoid ◼ Ant triangle furgther subdiveded by digastric & omohyoid submandibular carotid muscular ◼ C:\Documents and Settings\Dr Dinesh Kafle\Desktop\PIC_0019 .JPG
Midline neck swellings ◼ Submental LN ◼ Plunging ranula ◼ Ludwig’s angina ◼ Sublingual dermoid ◼ Subhyoid bursitis ◼ thyroglossal cyst ◼ Isthmic thyroid ◼ Suprasternal cyst,LN ◼ Lipoma ◼ Advanced Ca larynx
Suprasternal cyst
Lateral neck swellings : ant triangle ◼ Lymph nodes inflammatory – ac /ch neoplastic- primary - secondaries ◼ Enlarged SM gland – inflammatory or neoplastic ◼ Branchial cyst ◼ Thyroid swelling ◼ Lymphangil\ma ◼ Swelling lower pole of parotid ◼ Parapharyngeal abscess, tumours ◼ Carotid body tumour ◼ Pharyngeal pouch ◼ Laryngocoele ◼ Sternomastoid tumour
Massive thyroid swelling
Post triangle swellings ◼ Enlarged LN inflammatory neoplastic ◼ Cervical rib ◼ Cystic hygroma ◼ Aneurysm of subclavian art ◼ Lipoma
Lymphangioma ◼ 3 types : simple(thin walled channels), cavernous (dilated lymphatic spaces) arise from lips, cheek, FOM cystic hygroma (cysts of varying size) arise in lower neck ◼ Treatment – Inj OK432, - surgical excision
Dermoid cysts ◼ Midline swellings not moving with swallowing or protrusion of tongue
Dermoid cysts ◼ 3 types : epidermoid cysts : lined only with sq epi true dermoid – sq epi+ all skin appendage teratoid cyst – resp/sq epi + ecto,meso,endo elements like teeth, nails,thyroid tissue ◼ Treatment - excision