Sandbox:Maneesha: Difference between revisions
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| 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;" |Painless unless if it gets superinfected | |||
| align="center" style="background:#F5F5F5;" |+ | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" |A skin 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;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | On CT they appear as a well defined fluid attenuation lesion with slight enhancement of the capsule | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | Brachio-oto-renal syndrome | |||
|- | |- | ||
! colspan="2" align="center" style="background:#DCDCDC;" |Thyroglossal duct cyst | ! colspan="2" align="center" style="background:#DCDCDC;" |Thyroglossal duct cyst | ||
| align="center" style="background:#F5F5F5;" |Benign | |||
| align="center" style="background:#F5F5F5;" |The usual age at presentation is 1-10 yrs | |||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" |Painless unless superinfected | |||
| 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;" |- | |||
| align="center" style="background:#F5F5F5;" |Mass 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;" | On ultrasound they are anechoic, thin walls, and heterogeneous with internal septae | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | Ultrasonography | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
|- | |- | ||
Revision as of 21:33, 23 January 2019
Differential diagnosis of neck masses
Differential diagnosis of neck masses include:
| Category | Diseases | Benign or 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 | Benign | Painless unless if it gets superinfected | + | A skin pit is found at the opening of the cyst | - | - | On CT they appear as a well defined fluid attenuation lesion with slight enhancement of the capsule | Brachio-oto-renal syndrome | |||||||
| Thyroglossal duct cyst | Benign | The usual age at presentation is 1-10 yrs | Painless unless superinfected | - | - | Mass moves upwards with tongue protrusion and swallowing | - | On ultrasound they are anechoic, thin walls, and heterogeneous with internal septae | Ultrasonography | |||||||
| Hemangioma | ||||||||||||||||
| Vascular malformations | ||||||||||||||||
| Lymphatic malformations | ||||||||||||||||
| Laryngocele | ||||||||||||||||
| Ranula | ||||||||||||||||
| Teratoma | ||||||||||||||||
| Dermoid cyst | ||||||||||||||||
| Thymic cyst | ||||||||||||||||
| Category | Diseases | Benign or Malignant | 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 or Malignant | 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 | |