Neck masses differential diagnosis: Difference between revisions
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! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Category | ! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Category | ||
! colspan="2" rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ! colspan="2" rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ||
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign/Malignant | |||
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign | ! colspan="8" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Clinical manifestation | ||
! colspan=" | |||
! colspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Paraclinical findings | ! colspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Paraclinical findings | ||
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Gold standard diagnosis | ! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Gold standard diagnosis | ||
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! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Demography | ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Demography | ||
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |History | ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |History | ||
! colspan=" | ! colspan="2" |Symptoms | ||
! colspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Signs | ! colspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Signs | ||
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab findings | ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab findings | ||
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! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Imaging | ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Imaging | ||
|- | |- | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pain | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pain | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Dysphagia | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Dysphagia | ||
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! rowspan="10" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Congenital | ! rowspan="10" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Congenital | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Branchial cleft cyst | ! colspan="2" align="center" style="background:#DCDCDC;" |Branchial cleft cyst<ref name="Nahata20162">{{cite journal|last1=Nahata|first1=Vaishali|title=Branchial cleft cyst|journal=Indian Journal of Dermatology|volume=61|issue=6|year=2016|pages=701|issn=0019-5154|doi=10.4103/0019-5154.193718}}</ref> | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Benign]] | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Age]]: 1-15 yrs/ varies | |||
*Familial occurence is noted | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Lateral]] [[neck]] [[Mass (medicine)|mass]] | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | +/- | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Solitary | |||
*Smooth | |||
*Mobile | |||
*Welldefined | |||
*Non-pulsatile | |||
*Fluctuant | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*A pit is found at the opening of the [[cyst]] | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Squamous]] or [[ciliated]] [[epithelial]] lining | |||
*[[Lymphoid tissue]] with [[germinal centers]] and subcapsular sinuses | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[CT]]: Well defined fluid [[attenuation]] with slight enhancement of the [[capsule]] | |||
*[[Ultrasound]]: Typical features of a [[cyst]] are seen | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Brachio-oto-renal syndrome | |||
*[[Sinus]] | |||
*[[Fistula]] | |||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Thyroglossal duct cyst | ! colspan="2" align="center" style="background:#DCDCDC;" |Thyroglossal duct cyst<ref name="pmid30085599">{{cite journal |vauthors=Amos J, Shermetaro C |title= |journal= |volume= |issue= |pages= |date= |pmid=30085599 |doi= |url=}}</ref><ref name="pmid19718389">{{cite journal |vauthors=Deaver MJ, Silman EF, Lotfipour S |title=Infected thyroglossal duct cyst |journal=West J Emerg Med |volume=10 |issue=3 |pages=205 |date=August 2009 |pmid=19718389 |pmc=2729228 |doi= |url=}}</ref> | ||
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| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Benign]] | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Age]]: 1-10 yrs/ varies | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Midline [[neck]] [[Mass (medicine)|mass]] | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Mobile | |||
*Moves upwards with [[tongue]] protrusion and [[swallowing]] | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Squamous epithelium|Squamous]] or ciliated [[pseudostratified columnar]] lining | |||
*Foci of [[thyroid gland]] tissue | |||
*[[Granulation tissue]] or [[giant cells]] if it gets infected | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Ultrasound]]: Anechoic, thin walls, and [[heterogeneous]] with internal septae | |||
*[[CT]] with contrast: Well circumscribed,[[homogeneous]] fluid [[attenuation]], thin enhancing rim | |||
*[[MRI]]: T1- dark, T2-bright images | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | - | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" | | ! colspan="2" align="center" style="background:#DCDCDC;" |Haemangioma<ref name="Léauté-LabrèzePrey2011">{{cite journal|last1=Léauté-Labrèze|first1=C.|last2=Prey|first2=S.|last3=Ezzedine|first3=K.|title=Infantile haemangioma: Part I. Pathophysiology, epidemiology, clinical features, life cycle and associated structural abnormalities|journal=Journal of the European Academy of Dermatology and Venereology|volume=25|issue=11|year=2011|pages=1245–1253|issn=09269959|doi=10.1111/j.1468-3083.2011.04102.x}}</ref> | ||
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| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Benign]] | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Age]]: birth - 2 yrs | |||
*[[Females]]>[[males]] | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Presents with a flat red or purple patch | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Firm | |||
*Rubbery | |||
*Well-demarcated | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Blanching]] | |||
*[[Telangiectasias]] | |||
*[[Erythematous]] patch | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" |Regress gradually with age | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*GLUT-1 | |||
*[[VEGF]] | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Lined by non atypical [[endothelial cells]] | |||
*Vascular structures with [[RBC]] | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Ultrasound]]: High flow with vascular channels | |||
*[[MRI]]: With or without Gd is the modality of choice | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| | *[[POEMS syndrome|POEMS]] and [[Castleman's disease]] | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Vascular malformations | ! colspan="2" align="center" style="background:#DCDCDC;" |Vascular malformations<ref name="pmid25045330">{{cite journal |vauthors=Cox JA, Bartlett E, Lee EI |title=Vascular malformations: a review |journal=Semin Plast Surg |volume=28 |issue=2 |pages=58–63 |date=May 2014 |pmid=25045330 |pmc=4078214 |doi=10.1055/s-0034-1376263 |url=}}</ref><ref name="pmid28123976">{{cite journal |vauthors=Behravesh S, Yakes W, Gupta N, Naidu S, Chong BW, Khademhosseini A, Oklu R |title=Venous malformations: clinical diagnosis and treatment |journal=Cardiovasc Diagn Ther |volume=6 |issue=6 |pages=557–569 |date=December 2016 |pmid=28123976 |pmc=5220204 |doi=10.21037/cdt.2016.11.10 |url=}}</ref> | ||
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| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Benign]] | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Incidence]]: 1 in 2000 to 5000 births | |||
*Sex: No predilection | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Venous]]: Present with a bluish [[swelling]] | |||
*AV malformations: Present with purple/red [[swelling]] | |||
| align="center" style="background:#F5F5F5;" | -/+ | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Soft | |||
*Compressible | |||
*Non-tender | |||
*Venous: No thrill,↑ in size on [[valsalva]] | |||
*AV malformations: [[Thrill]], warm, [[Pulsatile Flow|pulsatile]] | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Grow proportionally with age | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*↑ [[D-dimer level]] in venous malfomations | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Lined by single [[endothelial]] layer | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Doppler ultrasound]]: Venous malformations show slow flow, hypoechoic, AV malformations show high flow | |||
*[[MRI]] with Gd: Diffuse enhancement | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*MRI | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | | |||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Lymphatic malformations | ! colspan="2" align="center" style="background:#DCDCDC;" |Lymphatic malformations<ref name="pmid250453302">{{cite journal |vauthors=Cox JA, Bartlett E, Lee EI |title=Vascular malformations: a review |journal=Semin Plast Surg |volume=28 |issue=2 |pages=58–63 |date=May 2014 |pmid=25045330 |pmc=4078214 |doi=10.1055/s-0034-1376263 |url=}}</ref><ref name="pmid23997487">{{cite journal |vauthors=Guruprasad Y, Chauhan DS |title=Cervical cystic hygroma |journal=J Maxillofac Oral Surg |volume=11 |issue=3 |pages=333–6 |date=September 2012 |pmid=23997487 |pmc=3428451 |doi=10.1007/s12663-010-0149-x |url=}}</ref> | ||
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| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Benign]] | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Age]]: Birth - 5yrs | |||
*Sex: No predilection | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Presents with a large [[swelling]] mainly in the [[neck]] | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | + | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Soft | |||
*Non-compressible | |||
*Non-pulsatile | |||
*Fluctuant | |||
*[[Transillumination]]+ | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Never regress, expand/contract based on [[inflammation]] | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Dilated [[lymphatic]] channels lined by [[endothelial cells]] | |||
*Positive D2-40 stain | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Ultrasound]]: Hypo/anechoic with thick septa and fluid | |||
*[[CT-scans|CT]]: [[Homogeneous]] and cystic mass | |||
*[[MRI]]: Hyperintense on T2 & peripheral wall enhancement on T1 | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Down syndrome]], [[turner syndrome]] | |||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Laryngocele | ! colspan="2" align="center" style="background:#DCDCDC;" |Laryngocele<ref name="pmid23881550">{{cite journal |vauthors=Werner RL, Schroeder JW, Castle JT |title=Bilateral laryngoceles |journal=Head Neck Pathol |volume=8 |issue=1 |pages=110–3 |date=March 2014 |pmid=23881550 |pmc=3950389 |doi=10.1007/s12105-013-0478-4 |url=}}</ref><ref name="pmid23120570">{{cite journal |vauthors=Prasad KC, Vijayalakshmi S, Prasad SC |title=Laryngoceles - presentations and management |journal=Indian J Otolaryngol Head Neck Surg |volume=60 |issue=4 |pages=303–8 |date=December 2008 |pmid=23120570 |pmc=3476818 |doi=10.1007/s12070-008-0108-8 |url=}}</ref><ref name="pmid28819622">{{cite journal |vauthors=Mahdoufi R, Barhmi I, Tazi N, Abada R, Roubal M, Mahtar M |title=Mixed Pyolaryngocele: A Rare Case of Deep Neck Infection |journal=Iran J Otorhinolaryngol |volume=29 |issue=93 |pages=225–228 |date=July 2017 |pmid=28819622 |pmc=5554815 |doi= |url=}}</ref> | ||
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| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Benign]] | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*More common in adults | |||
*[[Male]]: [[female]] = 5:1 | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Presents with a neck [[swelling]], [[hoarseness]], [[stridor]] and [[globus sensation]] | |||
*Episodic in nature | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | + | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Soft | |||
*Reducible | |||
*Increase in size on [[valsalva]] | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Common in glass blowers, trumpet players | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Lined by [[Pseudostratified ciliated columnar epithelium|pseudostratified]] [[ciliated]] [[epithelium]] | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[X-ray]], [[CT]]: [[Fluid]] and [[air]] containing [[cystic]] masses | |||
*[[CT]] is the preferred one | |||
*Direct [[laryngoscopy]] | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[CT scan]] is the gold standard [[imaging]] for [[diagnosis]] | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | | |||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Ranula | ! colspan="2" align="center" style="background:#DCDCDC;" |Ranula<ref name="pmid29207849">{{cite journal |vauthors=Packiri S, Gurunathan D, Selvarasu K |title=Management of Paediatric Oral Ranula: A Systematic Review |journal=J Clin Diagn Res |volume=11 |issue=9 |pages=ZE06–ZE09 |date=September 2017 |pmid=29207849 |pmc=5713871 |doi=10.7860/JCDR/2017/28498.10622 |url=}}</ref><ref name="pmid28194490">{{cite journal |vauthors=Kokong D, Iduh A, Chukwu I, Mugu J, Nuhu S, Augustine S |title=Ranula: Current Concept of Pathophysiologic Basis and Surgical Management Options |journal=World J Surg |volume=41 |issue=6 |pages=1476–1481 |date=June 2017 |pmid=28194490 |pmc=5422487 |doi=10.1007/s00268-017-3901-2 |url=}}</ref> | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Benign]] | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Age]]: 1st and 2nd decade | |||
*[[Female]]: [[male]]=1:1.4 | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Presents with a blue colored [[swelling]] in the floor of the [[Mouth (human)|mouth]] | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Well circumscribed | |||
*Fluctuant | |||
*Soft | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" |H&E: Shows [[mucin]] surrounded by inflammatory cells & [[fibrosis]] | |||
| align="center" style="background:#F5F5F5;" |[[CT-scans|CT]]: Shows cystic mass with tail sign | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Teratoma | ! colspan="2" align="center" style="background:#DCDCDC;" |Teratoma<ref name="pmid22942597">{{cite journal |vauthors=Chauhan DS, Guruprasad Y, Inderchand S |title=Congenital nasopharyngeal teratoma with a cleft palate: case report and a 7 year follow up |journal=J Maxillofac Oral Surg |volume=10 |issue=3 |pages=253–6 |date=September 2011 |pmid=22942597 |pmc=3238564 |doi=10.1007/s12663-010-0140-6 |url=}}</ref><ref name="pmid22814615">{{cite journal |vauthors=Bahgat M, Bahgat Y, Bahgat A |title=Oropharyngeal teratoma, a rare cause of airway obstruction in neonates |journal=BMJ Case Rep |volume=2012 |issue= |pages= |date=July 2012 |pmid=22814615 |pmc=4543570 |doi=10.1136/bcr-2012-006580 |url=}}</ref> | ||
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| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Benign]]/[[malignant]] | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Incidence]]: 1:4000 births | |||
*Sex: No predilection | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Presents as a firm [[lateral]] [[neck]] [[mass]] | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Firm | |||
*Non-tender | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*High [[ALP]] levels | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Shows ecto, meso and endodermal tissues | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[CT-scans|CT]] & [[MRI]]: Shows [[calcification]]<nowiki/>s | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Dermoid cyst | ! colspan="2" align="center" style="background:#DCDCDC;" |Dermoid cyst<ref name="ParadisKoltai2015">{{cite journal|last1=Paradis|first1=Josée|last2=Koltai|first2=Peter J.|title=Pediatric Teratoma and Dermoid Cysts|journal=Otolaryngologic Clinics of North America|volume=48|issue=1|year=2015|pages=121–136|issn=00306665|doi=10.1016/j.otc.2014.09.009}}</ref><ref name="pmid24629659">{{cite journal |vauthors=Gaddikeri S, Vattoth S, Gaddikeri RS, Stuart R, Harrison K, Young D, Bhargava P |title=Congenital cystic neck masses: embryology and imaging appearances, with clinicopathological correlation |journal=Curr Probl Diagn Radiol |volume=43 |issue=2 |pages=55–67 |date=2014 |pmid=24629659 |doi=10.1067/j.cpradiol.2013.12.001 |url=}}</ref> | ||
| | |||
| | |||
| | |||
| | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Benign]] | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Incidence]]: 3 per 10000 population | |||
*[[Age]]: birth - 5 yrs | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Presents as a slow growing [[mass]] or a [[sinus]] | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Freely mobile | |||
*Solitary | |||
*Rubbery | |||
*Nonpulsatile | |||
*Noncompressible | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Usually normal/sometimes a pit or [[sinus]] is seen | |||
*A tuft of [[hair]] at the center of the pit for [[nasal]] [[Dermoid cyst|dermoid]] [[cyst]] | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Keratinizing [[squamous epithelium]] | |||
*Occasional remnants of [[hair follicles]], [[adipose tissue]], and [[sweat glands]] | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Ultrasound]]: Thin walled, unilocular | |||
*[[CT-scans|CT]]: With contrast well circumscribed, unilocular, sac-of-marbles appearance due to fatty tissue | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Thymic cyst | ! colspan="2" align="center" style="background:#DCDCDC;" |Thymic cyst<ref name="GaddikeriVattoth2014">{{cite journal|last1=Gaddikeri|first1=Santhosh|last2=Vattoth|first2=Surjith|last3=Gaddikeri|first3=Ramya S.|last4=Stuart|first4=Royal|last5=Harrison|first5=Keith|last6=Young|first6=Daniel|last7=Bhargava|first7=Puneet|title=Congenital Cystic Neck Masses: Embryology and Imaging Appearances, With Clinicopathological Correlation|journal=Current Problems in Diagnostic Radiology|volume=43|issue=2|year=2014|pages=55–67|issn=03630188|doi=10.1067/j.cpradiol.2013.12.001}}</ref> | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Benign]] | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Age]]: 1-10 yrs | |||
*[[Males]]>[[Females]] | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Presents as a soft [[mass]], gradually enlarging, on left side of the [[neck]](usual) | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*Soft | |||
*Compressible | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | - | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Squamous epithelium|Squamou]]<nowiki/>s/[[cuboidal epithelium]] | |||
*[[Lymphoid tissue]] in the [[cyst]] wall contains hassall corpuscles | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
*[[Ultrasound|Ultrasoun]]<nowiki/>d: Unilocular [[cystic]] [[mass]] | |||
*[[CT-scans|CT]]: Uni/multilocular, well circumscribed and nonenhancing | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Category | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Category | ||
! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Demography | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Demography | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pain | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pain | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Dysphagia | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Dysphagia | ||
Line 247: | Line 395: | ||
| rowspan="21" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Inflammatory | | rowspan="21" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Inflammatory | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Acute sialadenitis | ! colspan="2" align="center" style="background:#DCDCDC;" |Acute sialadenitis | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 266: | Line 411: | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Chronic sialadenitis | ! colspan="2" align="center" style="background:#DCDCDC;" |Chronic sialadenitis | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 286: | Line 428: | ||
! rowspan="4" align="center" style="background:#DCDCDC;" |Reactive viral lymphadenopathy | ! rowspan="4" align="center" style="background:#DCDCDC;" |Reactive viral lymphadenopathy | ||
! align="center" style="background:#DCDCDC;" |CMV | ! align="center" style="background:#DCDCDC;" |CMV | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 305: | Line 444: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |EBV | ! align="center" style="background:#DCDCDC;" |EBV | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 324: | Line 460: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |HIV | ! align="center" style="background:#DCDCDC;" |HIV | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 343: | Line 476: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |Viral URI | ! align="center" style="background:#DCDCDC;" |Viral URI | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 363: | Line 493: | ||
! rowspan="6" align="center" style="background:#DCDCDC;" |Bacterial lymphadenopathy | ! rowspan="6" align="center" style="background:#DCDCDC;" |Bacterial lymphadenopathy | ||
! align="center" style="background:#DCDCDC;" |Tularemia | ! align="center" style="background:#DCDCDC;" |Tularemia | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 382: | Line 509: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |Brucellosis | ! align="center" style="background:#DCDCDC;" |Brucellosis | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 401: | Line 525: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |Cat-scratch disease | ! align="center" style="background:#DCDCDC;" |Cat-scratch disease | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 421: | Line 541: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |Actinomycosis | ! align="center" style="background:#DCDCDC;" |Actinomycosis | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 440: | Line 557: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |Mycobacterial infections | ! align="center" style="background:#DCDCDC;" |Mycobacterial infections | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 459: | Line 573: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |Staphylococcal or streptococcal infection | ! align="center" style="background:#DCDCDC;" |Staphylococcal or streptococcal infection | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 479: | Line 590: | ||
! align="center" style="background:#DCDCDC;" |Parasitic lymphadenopathy | ! align="center" style="background:#DCDCDC;" |Parasitic lymphadenopathy | ||
! align="center" style="background:#DCDCDC;" |Toxoplasma gondii | ! align="center" style="background:#DCDCDC;" |Toxoplasma gondii | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 498: | Line 606: | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Sarcoidosis | ! colspan="2" align="center" style="background:#DCDCDC;" |Sarcoidosis | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 517: | Line 622: | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Amyloidosis | ! colspan="2" align="center" style="background:#DCDCDC;" |Amyloidosis | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 536: | Line 638: | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Sjögren syndrome | ! colspan="2" align="center" style="background:#DCDCDC;" |Sjögren syndrome | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 555: | Line 654: | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Castleman disease (angiofollicular lymphoproliferative disease) | ! colspan="2" align="center" style="background:#DCDCDC;" |Castleman disease (angiofollicular lymphoproliferative disease) | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 574: | Line 670: | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Kikuchi disease (histiocytic necrotizing lymphadenitis) | ! colspan="2" align="center" style="background:#DCDCDC;" |Kikuchi disease (histiocytic necrotizing lymphadenitis) | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 593: | Line 686: | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Kimura disease | ! colspan="2" align="center" style="background:#DCDCDC;" |Kimura disease | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 612: | Line 702: | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Rosai-Dorfman disease | ! colspan="2" align="center" style="background:#DCDCDC;" |Rosai-Dorfman disease | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 631: | Line 718: | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Kawasaki disease | ! colspan="2" align="center" style="background:#DCDCDC;" |Kawasaki disease | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 651: | Line 735: | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Category | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Category | ||
! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Demography | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Demography | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pain | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pain | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Dysphagia | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Dysphagia | ||
Line 671: | Line 752: | ||
! rowspan="20" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Neoplasm | ! rowspan="20" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Neoplasm | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Primary thyroid tumor | ! colspan="2" align="center" style="background:#DCDCDC;" |Primary thyroid tumor | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 691: | Line 769: | ||
! rowspan="10" align="center" style="background:#DCDCDC;" |Salivary gland neoplasm | ! rowspan="10" align="center" style="background:#DCDCDC;" |Salivary gland neoplasm | ||
! align="center" style="background:#DCDCDC;" |Pleomorphic adenoma | ! align="center" style="background:#DCDCDC;" |Pleomorphic adenoma | ||
| align="center" style="background:#F5F5F5;" | + | | align="center" style="background:#F5F5F5;" | + | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 710: | Line 785: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |Warthin's tumor | ! align="center" style="background:#DCDCDC;" |Warthin's tumor | ||
| align="center" style="background:#F5F5F5;" | + | | align="center" style="background:#F5F5F5;" | + | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 729: | Line 801: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |Lymphoepithelioma | ! align="center" style="background:#DCDCDC;" |Lymphoepithelioma | ||
| align="center" style="background:#F5F5F5;" | + | | align="center" style="background:#F5F5F5;" | + | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 748: | Line 817: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |Oncocytoma | ! align="center" style="background:#DCDCDC;" |Oncocytoma | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 767: | Line 833: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |Monomorphic adenoma | ! align="center" style="background:#DCDCDC;" |Monomorphic adenoma | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 786: | Line 849: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |Mucoepidermoid carcinoma | ! align="center" style="background:#DCDCDC;" |Mucoepidermoid carcinoma | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 805: | Line 865: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |Adenoid cystic carcinoma | ! align="center" style="background:#DCDCDC;" |Adenoid cystic carcinoma | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 824: | Line 881: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |Adenocarcinoma | ! align="center" style="background:#DCDCDC;" |Adenocarcinoma | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 843: | Line 897: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |Salivary duct carcinoma | ! align="center" style="background:#DCDCDC;" |Salivary duct carcinoma | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 862: | Line 913: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |Squamous cell carcinoma | ! align="center" style="background:#DCDCDC;" |Squamous cell carcinoma | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 881: | Line 929: | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Parathyroid tumors | ! colspan="2" align="center" style="background:#DCDCDC;" |Parathyroid tumors | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 900: | Line 945: | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Carotid body tumors | ! colspan="2" align="center" style="background:#DCDCDC;" |Carotid body tumors | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 919: | Line 961: | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Paraganglioma | ! colspan="2" align="center" style="background:#DCDCDC;" |Paraganglioma | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 938: | Line 977: | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Schwannoma | ! colspan="2" align="center" style="background:#DCDCDC;" |Schwannoma | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 957: | Line 993: | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Lymphoma | ! colspan="2" align="center" style="background:#DCDCDC;" |Lymphoma | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 976: | Line 1,009: | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Liposarcoma | ! colspan="2" align="center" style="background:#DCDCDC;" |Liposarcoma | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 995: | Line 1,025: | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Lipoma | ! colspan="2" align="center" style="background:#DCDCDC;" |Lipoma | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 1,014: | Line 1,041: | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Glomus vagale, glomus jugulare tumors | ! colspan="2" align="center" style="background:#DCDCDC;" |Glomus vagale, glomus jugulare tumors | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 1,033: | Line 1,057: | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Metastatic head and neck carcinoma | ! colspan="2" align="center" style="background:#DCDCDC;" |Metastatic head and neck carcinoma | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 1,053: | Line 1,074: | ||
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Other | ! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Other | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Hematoma | ! colspan="2" align="center" style="background:#DCDCDC;" |Hematoma | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 1,072: | Line 1,090: | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Arteriovenous fistula | ! colspan="2" align="center" style="background:#DCDCDC;" |Arteriovenous fistula | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 1,091: | Line 1,106: | ||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Goiter | ! colspan="2" align="center" style="background:#DCDCDC;" |Goiter | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
Line 1,111: | Line 1,123: | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Category | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Category | ||
! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Demography | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Demography | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pain | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pain | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Dysphagia | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Dysphagia |
Revision as of 14:42, 12 February 2019
Neck masses Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Neck masses differential diagnosis On the Web |
American Roentgen Ray Society Images of Neck masses differential diagnosis |
Risk calculators and risk factors for Neck masses differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Differentiating neck masses from other Diseases
Differential diagnosis of neck masses include:
Category | Diseases | Benign/Malignant | Clinical manifestation | Paraclinical findings | Gold standard diagnosis | Associated findings | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Demography | History | Symptoms | Signs | Lab findings | Histopathology | Imaging | ||||||||||
Pain | Dysphagia | Mass exam | Skin changes | LAP | Others | |||||||||||
Congenital | Branchial cleft cyst[1] |
|
- | +/- |
|
|
- | - | - |
|
|
|||||
Thyroglossal duct cyst[2][3] |
|
- | - |
|
- | - | - | - |
|
|
- | |||||
Haemangioma[4] |
|
|
- | - |
|
|
- | Regress gradually with age |
|
|
|
|||||
Vascular malformations[5][6] |
|
|
-/+ | - |
|
- | - |
|
|
|
|
|
- | |||
Lymphatic malformations[7][8] |
|
- | + |
|
- | - |
|
- |
|
|
||||||
Laryngocele[9][10][11] |
|
|
- | + |
|
- | - |
|
- |
|
|
- | ||||
Ranula[12][13] |
|
- | - |
|
- | - | - | - | H&E: Shows mucin surrounded by inflammatory cells & fibrosis | CT: Shows cystic mass with tail sign | - | |||||
Teratoma[14][15] |
|
- | - |
|
- | - | - |
|
|
|
||||||
Dermoid cyst[16][17] |
|
- | - |
|
|
- | - | - |
|
|
||||||
Thymic cyst[18] |
|
- | - |
|
- | - | - | - |
|
|
||||||
Category | Diseases | Benign | Demography | History | Pain | Dysphagia | Mass exam | Skin changes | LAP | Others | Lab findings | Histopathology | Imaging | Gold standard diagnosis | Associated findings | |
Inflammatory | Acute sialadenitis | |||||||||||||||
Chronic sialadenitis | ||||||||||||||||
Reactive viral lymphadenopathy | CMV | |||||||||||||||
EBV | ||||||||||||||||
HIV | ||||||||||||||||
Viral URI | ||||||||||||||||
Bacterial lymphadenopathy | Tularemia | |||||||||||||||
Brucellosis | ||||||||||||||||
Cat-scratch disease | ||||||||||||||||
Actinomycosis | ||||||||||||||||
Mycobacterial infections | ||||||||||||||||
Staphylococcal or streptococcal infection | ||||||||||||||||
Parasitic lymphadenopathy | Toxoplasma gondii | |||||||||||||||
Sarcoidosis | ||||||||||||||||
Amyloidosis | ||||||||||||||||
Sjögren syndrome | ||||||||||||||||
Castleman disease (angiofollicular lymphoproliferative disease) | ||||||||||||||||
Kikuchi disease (histiocytic necrotizing lymphadenitis) | ||||||||||||||||
Kimura disease | ||||||||||||||||
Rosai-Dorfman disease | ||||||||||||||||
Kawasaki disease | ||||||||||||||||
Category | Diseases | Benign | Demography | History | Pain | Dysphagia | Mass exam | Skin changes | LAP | Others | Lab findings | Histopathology | Imaging | Gold standard diagnosis | Associated findings | |
Neoplasm | Primary thyroid tumor | |||||||||||||||
Salivary gland neoplasm | Pleomorphic adenoma | + | ||||||||||||||
Warthin's tumor | + | |||||||||||||||
Lymphoepithelioma | + | |||||||||||||||
Oncocytoma | ||||||||||||||||
Monomorphic adenoma | ||||||||||||||||
Mucoepidermoid carcinoma | ||||||||||||||||
Adenoid cystic carcinoma | ||||||||||||||||
Adenocarcinoma | ||||||||||||||||
Salivary duct carcinoma | ||||||||||||||||
Squamous cell carcinoma | ||||||||||||||||
Parathyroid tumors | ||||||||||||||||
Carotid body tumors | ||||||||||||||||
Paraganglioma | ||||||||||||||||
Schwannoma | ||||||||||||||||
Lymphoma | ||||||||||||||||
Liposarcoma | ||||||||||||||||
Lipoma | ||||||||||||||||
Glomus vagale, glomus jugulare tumors | ||||||||||||||||
Metastatic head and neck carcinoma | ||||||||||||||||
Other | Hematoma | |||||||||||||||
Arteriovenous fistula | ||||||||||||||||
Goiter | ||||||||||||||||
Category | Diseases | Benign | Demography | History | Pain | Dysphagia | Mass exam | Skin changes | LAP | Others | Lab findings | Histopathology | Imaging | Gold standard diagnosis | Associated findings |
References
- ↑ Nahata, Vaishali (2016). "Branchial cleft cyst". Indian Journal of Dermatology. 61 (6): 701. doi:10.4103/0019-5154.193718. ISSN 0019-5154.
- ↑ Amos J, Shermetaro C. PMID 30085599. Missing or empty
|title=
(help) - ↑ Deaver MJ, Silman EF, Lotfipour S (August 2009). "Infected thyroglossal duct cyst". West J Emerg Med. 10 (3): 205. PMC 2729228. PMID 19718389.
- ↑ Léauté-Labrèze, C.; Prey, S.; Ezzedine, K. (2011). "Infantile haemangioma: Part I. Pathophysiology, epidemiology, clinical features, life cycle and associated structural abnormalities". Journal of the European Academy of Dermatology and Venereology. 25 (11): 1245–1253. doi:10.1111/j.1468-3083.2011.04102.x. ISSN 0926-9959.
- ↑ Cox JA, Bartlett E, Lee EI (May 2014). "Vascular malformations: a review". Semin Plast Surg. 28 (2): 58–63. doi:10.1055/s-0034-1376263. PMC 4078214. PMID 25045330.
- ↑ Behravesh S, Yakes W, Gupta N, Naidu S, Chong BW, Khademhosseini A, Oklu R (December 2016). "Venous malformations: clinical diagnosis and treatment". Cardiovasc Diagn Ther. 6 (6): 557–569. doi:10.21037/cdt.2016.11.10. PMC 5220204. PMID 28123976.
- ↑ Cox JA, Bartlett E, Lee EI (May 2014). "Vascular malformations: a review". Semin Plast Surg. 28 (2): 58–63. doi:10.1055/s-0034-1376263. PMC 4078214. PMID 25045330.
- ↑ Guruprasad Y, Chauhan DS (September 2012). "Cervical cystic hygroma". J Maxillofac Oral Surg. 11 (3): 333–6. doi:10.1007/s12663-010-0149-x. PMC 3428451. PMID 23997487.
- ↑ Werner RL, Schroeder JW, Castle JT (March 2014). "Bilateral laryngoceles". Head Neck Pathol. 8 (1): 110–3. doi:10.1007/s12105-013-0478-4. PMC 3950389. PMID 23881550.
- ↑ Prasad KC, Vijayalakshmi S, Prasad SC (December 2008). "Laryngoceles - presentations and management". Indian J Otolaryngol Head Neck Surg. 60 (4): 303–8. doi:10.1007/s12070-008-0108-8. PMC 3476818. PMID 23120570.
- ↑ Mahdoufi R, Barhmi I, Tazi N, Abada R, Roubal M, Mahtar M (July 2017). "Mixed Pyolaryngocele: A Rare Case of Deep Neck Infection". Iran J Otorhinolaryngol. 29 (93): 225–228. PMC 5554815. PMID 28819622.
- ↑ Packiri S, Gurunathan D, Selvarasu K (September 2017). "Management of Paediatric Oral Ranula: A Systematic Review". J Clin Diagn Res. 11 (9): ZE06–ZE09. doi:10.7860/JCDR/2017/28498.10622. PMC 5713871. PMID 29207849.
- ↑ Kokong D, Iduh A, Chukwu I, Mugu J, Nuhu S, Augustine S (June 2017). "Ranula: Current Concept of Pathophysiologic Basis and Surgical Management Options". World J Surg. 41 (6): 1476–1481. doi:10.1007/s00268-017-3901-2. PMC 5422487. PMID 28194490.
- ↑ Chauhan DS, Guruprasad Y, Inderchand S (September 2011). "Congenital nasopharyngeal teratoma with a cleft palate: case report and a 7 year follow up". J Maxillofac Oral Surg. 10 (3): 253–6. doi:10.1007/s12663-010-0140-6. PMC 3238564. PMID 22942597.
- ↑ Bahgat M, Bahgat Y, Bahgat A (July 2012). "Oropharyngeal teratoma, a rare cause of airway obstruction in neonates". BMJ Case Rep. 2012. doi:10.1136/bcr-2012-006580. PMC 4543570. PMID 22814615.
- ↑ Paradis, Josée; Koltai, Peter J. (2015). "Pediatric Teratoma and Dermoid Cysts". Otolaryngologic Clinics of North America. 48 (1): 121–136. doi:10.1016/j.otc.2014.09.009. ISSN 0030-6665.
- ↑ Gaddikeri S, Vattoth S, Gaddikeri RS, Stuart R, Harrison K, Young D, Bhargava P (2014). "Congenital cystic neck masses: embryology and imaging appearances, with clinicopathological correlation". Curr Probl Diagn Radiol. 43 (2): 55–67. doi:10.1067/j.cpradiol.2013.12.001. PMID 24629659.
- ↑ Gaddikeri, Santhosh; Vattoth, Surjith; Gaddikeri, Ramya S.; Stuart, Royal; Harrison, Keith; Young, Daniel; Bhargava, Puneet (2014). "Congenital Cystic Neck Masses: Embryology and Imaging Appearances, With Clinicopathological Correlation". Current Problems in Diagnostic Radiology. 43 (2): 55–67. doi:10.1067/j.cpradiol.2013.12.001. ISSN 0363-0188.