NeckSwellingLymphadenopathy
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This document discusses neck swelling and cervical lymphadenopathy. It begins by classifying swellings as either cystic or solid, and by location as midline, submandibular triangle, or posterior triangle. Examples of common midline cystic and solid swellings are provided, as well as examples for each triangle location. Causes of lymphadenopathy are categorized as acute, chronic, inflammatory, neoplastic (primary or secondary), or autoimmune. The document also presents the "Rule of 80" regarding characteristics of neck swellings and metastases.
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NeckSwellingLymphadenopathy
- 1. Neck swelling & cervical lymphadenopathy Dr. Nabarun Biswas Registrar Surgery MMCH
- 3. Classification: • Cystic • Solid Midline • Cystic • Solid Lateral
- 4. Midline cystic swelling • Ranula • Dermoid • Sub hyoid bursa • Thyroglossal cyst • Cyst in isthmus • Cold abscess
- 6. Midline solid swelling •Submental •Pre laryngeal •Pre tracheal Lymphnode Thyroid isthmus
- 7. Lateral neck swelling • Sub mandibular triangle • Carotid triangle • Posterior triangle
- 8. Sub mandibular triangle • Plunging ranula • Sublingual dermoid • Retention cyst of salivary gland Cystic • Submandibular gland • tumour • Sialolithiasis • sialitis • lymphnode Solid
- 10. Carotid triangle • Branchial cyst • Cold abscess • Carotid aneurism • laryngocele Cystic • Carotid body tumor • Lymphnode • Thyroid swelling • Sternomastoid tumor Solid Posterior triangle
- 12. Posterior triangle • Cystic 1. Cystic hygroma 2. Solitary lymphatic cyst 3. Cold abscess 4. Pharyngeal pouch • Solid 1. Lymph node 2. Cervical rib
- 14. Cold abscess
- 15. Swelling anywhere in the neck •Sebaceous cyst •Lipoma •Fibroma •Neurofibroma •Hemangioma
- 16. Neck swelling that moves with deglutition • Thyroid swelling • Cyst of isthmus or thyroid • Ectopic thyroid • Thyroglossal cyst • Sub hyoid bursa • Laryngocele • Pre tracheal lymph node
- 17. 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 • 80% of malignant swelling are squamous cell ca • 80% neoplastic Neck swelling seen in male • 80% malignant Neck swelling are metastatic • 80% metastasis occurs from above clavicle
- 21. Causes of lymphadenopathy Acute Acute pyogenic ALL Acute infectious mononucleosis Chronic Inflammatory Specific nonspecific Neoplastic Primary Secondary Autoimmune disorder