Sandbox:Maneesha: Difference between revisions
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* Benign | * Benign | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
* Age: 1-10 yrs | * Age: 1-10 yrs/ varies | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
| align="center" style="background:#F5F5F5;" | - | | align="center" style="background:#F5F5F5;" | - | ||
Line 84: | Line 84: | ||
* Mass moves upwards with tongue protrusion and swallowing | * 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;" |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 | * Ultrasound: Anechoic, thin walls, and heterogeneous with internal septae | ||
* CT with contrast: Well circumscribed,homogeneous fluid attenuation, thin enhancing rim | * 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;" | |
Revision as of 17:09, 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 |
|
|
- | - |
|
|
| ||||
Thyroglossal duct cyst |
|
|
- | - |
|
- |
|
- | Squamous or ciliated pseudostratified columnar lining
Foci of thyroid gland tissue Granulation tissue or giant cells if it gets infected |
|
||||||
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 |