Sandbox:Maneesha: Difference between revisions
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* Familial occurence is noted | * Familial occurence is noted | ||
| align="center" style="background:#F5F5F5;" |Lateral neck mass | | align="center" style="background:#F5F5F5;" | | ||
* Lateral neck mass | |||
| align="center" style="background:#F5F5F5;" | - | | align="center" style="background:#F5F5F5;" | - | ||
| align="center" style="background:#F5F5F5;" | + Sometimes | | align="center" style="background:#F5F5F5;" | + Sometimes | ||
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| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
* Age: 1-10 yrs/ varies | * Age: 1-10 yrs/ varies | ||
| align="center" style="background:#F5F5F5;" |Midline neck mass | | align="center" style="background:#F5F5F5;" | | ||
* Midline neck mass | |||
| align="center" style="background:#F5F5F5;" | - | | align="center" style="background:#F5F5F5;" | - | ||
| align="center" style="background:#F5F5F5;" | - | | align="center" style="background:#F5F5F5;" | - | ||
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* Females>males | * Females>males | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
* Usually present 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;" | - | ||
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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;" | | | align="center" style="background:#F5F5F5;" |Freely mobile/Fixed | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | - | | align="center" style="background:#F5F5F5;" | - | ||
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| 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;" | | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | |
Revision as of 21:12, 24 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 |
|
|
|
- | + Sometimes |
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|
- | - |
|
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| |||
Thyroglossal duct cyst |
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|
|
- | - |
|
- |
|
- |
|
|
|||||
Hemangioma |
|
|
|
- | - |
|
|
- | GLUT-1
VEGF Urinary BFGF |
Ultrasound: High flow with vascular channels
MRI: With or without Gd is the modality of choice |
POEMS and Castleman's disease | |||||
Vascular malformations | ||||||||||||||||
Lymphatic malformations | ||||||||||||||||
Laryngocele | ||||||||||||||||
Ranula | ||||||||||||||||
Teratoma | ||||||||||||||||
Dermoid cyst | Benign | Incidence: 3 per 10000 population
Age: birth - 5 yrs |
- | - | Freely mobile/Fixed | - |
|
|||||||||
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 |