Neck Lumps Notes
This is a sample of our (approximately) 3 page long Neck Lumps notes, which we sell as part of the ENT Notes collection, a MBChB (hons) (1st) package written at University Of Leicester in 2014 that contains (approximately) 36 pages of notes across 16 different documents.
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Neck Lumps Revision
The following is a plain text extract of the PDF sample above, taken from our ENT Notes. This text version has had its formatting removed so pay attention to its contents alone rather than its presentation. The version you download will have its original formatting intact and so will be much prettier to look at.
Neck lumps 80:20 rule
- Paediatric neck lumps o 20% malignanct o 80% benign
- Adult neck lumps o 80% malignant o 20% benign
Salivary gland lumps
Parotid 80% benign, 20% malignant Submandibular 50% benign 50% malignant Sublingual 80% malignant 20% benign
- Age 40 years o Primary/secondary malignant disease
Paediatric neck lumps
Mainly benign (80:20) Commonly anterior to sternocleidomastoid i.e in anterior triangle Isolated neck lump in posterior triangle has increase risk of being malignant
Commonest midline mass in children Formed from a persistent thyroglossal duct o Embryological remnant as thyroid descends, remains connected to tongue via thyroglossal duct. Normally atrophie and closes before birth) Fibrous cyst arises at any point along route of duct o Most commonly below hyoid bone Moves on swallowing or sticking out tounge Usually asymptomatic, apart from presence of lump If it becomes infected - pain and swelling persist
Management: USS - check they have a thyroid as cyst can be only thyroid tissue + excision
Usually present as submental swellings in the midline Are dermal remnants occurring along lines of fusion in the embryo
- Lined by epidermis + may contain hair, teeth and debris
- Don't move on swallowing/tongue protrusion Management: excision
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