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Neck Swelling

The document outlines the classification and causes of neck swelling and cervical lymphadenopathy, categorizing swellings into midline and lateral types, with further distinctions between cystic and solid swellings. It details specific conditions associated with each type, such as ranula, dermoid cysts, and various lymph node pathologies. Additionally, it introduces the 'Rule of 80' regarding the prevalence and nature of neck swellings based on age and malignancy.

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63 views21 pages

Neck Swelling

The document outlines the classification and causes of neck swelling and cervical lymphadenopathy, categorizing swellings into midline and lateral types, with further distinctions between cystic and solid swellings. It details specific conditions associated with each type, such as ranula, dermoid cysts, and various lymph node pathologies. Additionally, it introduces the 'Rule of 80' regarding the prevalence and nature of neck swellings based on age and malignancy.

Uploaded by

drkazem4658
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

Neck swelling &

cervical
lymphadenopathy
Dr. Nabarun Biswas
Registrar Surgery
MMCH
Triangles of neck
Classification:

• Cystic
Midline • Solid

• Cystic
Lateral • Solid
Midline cystic
swelling

• Ranula
• Dermoid
• Sub hyoid bursa
• Thyroglossal cyst
• Cyst in isthmus
• Cold abscess
Ranula

Dermoid
Lymphnode

Midline • Submental
solid • Pre laryngeal
swelling • Pre tracheal

Thyroid isthmus
Lateral
neck
swelling
• Sub mandibular
triangle
• Carotid triangle
• Posterior triangle
Cystic

• Plunging ranula
• Sublingual dermoid
Sub • Retention cyst of
salivary gland
mandibula
r triangle Solid

• Submandibular gland
1.tumour
2.Sialolithiasis
3.sialitis
• lymphnode
Carotid triangle
• Branchial cyst

Cystic
• Cold abscess
• Carotid aneurism
• Posterior triangle
laryngocele

• Carotid body tumor

Solid
• Lymphnode
• Thyroid swelling
• Sternomastoid tumor
Posterior triangle
• Cystic
1. Cystic hygroma
2. Solitary lymphatic cyst
3. Cold abscess
4. Pharyngeal pouch
• Solid
1. Lymph node
2. Cervical rib
Cold
abscess
• Sebaceous cyst
Swelling • Lipoma
anywhere in • Fibroma
the neck • Neurofibroma
• Hemangioma
Neck swelling that moves with
deglutition
• Thyroid swelling
• Cyst of isthmus or thyroid Only thyroglossal
• Ectopic thyroid
• Thyroglossal cyst
cyst moves up
• Sub hyoid bursa with tongue
• Laryngocele protrusion
• Pre tracheal lymph node
Rule of 80 in neck swelling

• 80% Neck swelling are lateral


• 80% lateral Neck swelling are nodal
• 80% nodal Neck swelling ↓ 40 year is due to inflammatory

%
• 80% nodal Neck swelling ↑ 40 year is due to malignancy

0
• 80% of malignant swelling are squamous cell ca

8
• 80% neoplastic Neck swelling seen in male
• 80% malignant Neck swelling are metastatic
• 80% metastasis occurs from above clavicle
Cervical
lymph
nodes
Cervical
lymph
nodes
level
Causes of Acute pyogenic
lymphadenopat
hy Acute ALL

Acute infectious
mononucleosis
Specific
Inflammatory
nonspecific

Chronic Primary
Neoplastic
Secondary
Autoimmune
disorder

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