41. Differential diagnosis of swelling at the neck.

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Last updated 4:33 PM on 6/1/26
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6 Terms

1
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What are the causes of neck masses

  • congenital

  • inflammatory

  • neoplastic

2
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What are the causes of congenital neck masses

  • lateral

    • branchial cysts, lymphatic/venous/venolymphatic malformations

  • Midline

    • thyroglossal duct cyst, dermoid cyst, laryngocele

3
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What are the inflammatory causes of neck masses

  • lymphadenopathy

  • mononucleosis infectiosa

  • mycobacterial infections

4
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What are the neoplastic causes of neck masses

  • lymphoma

  • salivary gland tumouors

  • thyroid tumours

  • metastatic malignancies

5
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What are the factors in Dx

  • patients history

  • uni/ bilateral

    • metastaiss, cyst- inflammation, lymphoma

  • painful/ painless

    • inflammation, advanced metastasis- cyst lymphadenomegaly

  • mobile/ fixed

    • inflammation, infiltrating masses

  • typical localisation

    • cervical regions, position to SCM

  • colour and tenderness of skin

    • hyperemia, ulceration

6
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what can be seen in patients history

  • accompanying symptoms

    • non symmetrical pain, swallowing disorders, breathing difficulties, fever

  • dynamics of symptoms

    • slow- moderately- fast appearing

  • risk factors

    • smoking, alcohol, dental status, HPV