4. FACE MASS ,LAMP, OR SWELLING
EPIDERMOID CYST (SEBACEOUS CYST) :COMMON
IN SCALP & FACE BECAUSE OF EXCESSIVE SEBACEOUS
GLANDS .
IT IS BLOCKAGE OF THE MOUTH OF THE GLAND THAT
OPENS IN TO HAIR FOLLICLE AND SO GRADUAL DIS
TENSION OF THE GLAND FORMING A CYST CONTAIN
ING SEBUM.IT IS LIABLE TO INFECTION.
DERMOID CYST :COMMONLY OVER THE EXTERNAL
ANGLE OF THE EYE BROW,OR INTERNAL ANGLE.
IT IS FORMED BY PIECE OF SKIN WHICH TRAPPED DEEP TO
NORMAL SKIN WHICH IS EITHER DEVELOPMENTAL,
OR AFTER INJURY.SO IT IS EITHER CONGENITAL AS IN FACE
OR ACQUIRED AS IN HAND AND FINGERS ALSO CALLED
INCLUSION CYST.
5. DERMOID CYST..CONT,D
DERMOID CYST LINED BY SQUAMOUS EPITHELIUM ,
CONTAIN SEBUM AND HAIR & OTHER SKIN APPENDAG
ES ,WHICH DIFFERS FROM SEBACEOUS CYST.
OTHER FACE MASS PAROTID DISEASE :
INFLAMMATORY LIKE MUMPS OR BACTERIAL PAROT
IT IS .
NEOPLASTIC:BENIGN & MALIGNANT
PLEOMORPHIC ADENOMA (MIXED PAROTID TUMO
UMER).
ADENOID CYSTIC CARCINOMA.
18. NECK MASS,LUMP OR SWELLING
MULTIPLE LUMPS:LYMPH NODES .
ANTERIOR TRIANGLE THAT DOES NOT MOVE WITH
DEGLUTITION OR SWALLOWING:
SOLID:LYMPH NODE,CAROTID BODY TUMOUR,LIPOM
A.
CYSTIC :COLD ABSCESS,DERMOID CYST,& BRANCHIAL
CYST.
ANTERIOR TRIANGLE THAT MOVES WITH SWALLOW
ING :
SOLID:THYROID GLAND ,DELPHIAN LYMPH NODE .
CYSTIC:THYROGLOSSA L CYST.
21. CAUSES OF MULTIPLE CERVICAL LYMPHADENOPATHY
INFECTION:NON-SPECIFIC & SPECIFIC (T.B.),GLANDUL
AR FVER.
NEOPLASIA:PRIMARY:LYMPHOMA &LEUKAEMIA.
SECONDARY.
22. ANTERIOR TRIANGLE MASS
NOT MOVES WITH DEGLUTITION
SOLID:LYMPH NODE (INFECTION ,MALIGNANCY).
CAROTID BODY TUMOUR ;IT IS RARE
TUMOUR,ARISES FROM CHEMORECEPTOR OF THE
IN THE COMMON CAROTID A.BIFURCATION.
ALSO CALLED CHEMODECTOMA.USUALLY BENIGN,
BUT OCCASIONALLY MALIGNANT.
DIAGNOSIS :CAROTID ANGIOGRAPHY AND MRI .
25. ANT. TRIANGLE SOLID NOT MOVES WITH
SWALLOWING
LIPOMA EXCISED LIPOMA SPECEIMENT
26. CYSTIC MASS IN ANT. TIANGLE NOT MOVES
WITH DEGLUTITION
COLD ABSCESS: LIQUIFIED T.B. LYMPH NODE;IT IS NEI
THER RED, NOR HOT OR TENDER.
BRANCHIAL CYST:CONGENITAL IN ORIGIN DEVELOPED
FROM VESTIGEAL REMENANT OF THE SECOND BRAN
CHIAL CLEFT.IT IS LINED BY SQUAMOUS EPITHELIUM.
IT IS LIABLE TO INFECTION AND IF IT RUPTURES
IT LEADS TO BRANCHIAL FISTULA.
DERMOID CYST: .
31. ANTERIOR TRIANGLE MASS
MOVES WITH DEGLUTITION OR
SWALLOWING
SOLID :THYROID GLAND ;GOITRE (DIFFUSE GOITRE,
,OR SINGLE THYROID NODULE,TOXIC OR NON TOXIC
BENIGN OR MALIGNANT ).
DELPHIAN LYMPH NODE :SOLID MOVES WITH
SWALLOWING.
CYSTIC:THYROGLOSSAL CYST:IT MOVES WITH TONGUE
PROTRUSION AS WELL.IT IS CONGENITAL REMENANT OF
THYROGLOSSAL DUCT .COULD BE AT ANY LEVEL
FROM FLOOR OF THE MOUTH DOWN TO BELOW CRICOID
CARTILAGE .
36. POSTERIOR TRIANGLE MASS WHICH DOES NOT
MOVE WITH SWALLOWING
SOLID :LYMPH NODE WITH ALL CAUSES OF CERVICAL
LYMPHADENOPATHY.
CYSTIC:CYSTIC HYGROMA;ARISES FROM PRIMITIVE
LYMPH SACS DURING EMBRYONIC LIFE.IT APPEARS
DURING NEONATAL OR EARLY INFANCY.
IT IS COMPRESSIBLE.
PHARYNGEAL POUCH:IT IS DEFECT IN THE PHARYNGE
AL MUSCLE WALL WITH MUCOSAL PROTRUSION OR
HERNIATION.
SUBCLAVIAN ARTERY ANEURYSM :
40. DIAGNOSIS
-HISTORY.
-PHYSICAL EXAMINATION:
LOCAL &SYSTEMIC EXAMINATION.
LOCAL EXAMINATION OF ANY LUMP :
SIZE,SITE,SHAPE,SURFACE,COLOR,TEMPERATURE,
TENDERNESS,CONSISTENCY,COMPRESSIBILITY OR
PULSATILITY.
INVESTIGATION:HAEMATOLOGICAL & BIOCHEMICAL
EXAMINATION.
41. DIAGNOSIS…CONT,D
IMAGING TESTS :
CHEST X-RAY .
PLAIN X-RAY SKULL ---DERMOID CYST .
ULTRASOUND ---DIFFERENTIATE BETWEEN CYSTIC &
SOLID MASS.ALSO ULTRASOUND DIFFERENTIATES
BETWEEN VASCULAR AND NON-VASCULAR AS IN
CAROTID BODY TUMOUR OR ANEURYSM.
CT SCAN WITH IV CONTRAST--- FOR ALL LUMPS .
MRI------ .
