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Radiological imaging
of adult neck masses.
Dr/ ABD ALLAH NAZEER. MD.
Anatomy
Anatomical Considerations
Prominent Landmarks
Triangles of the Neck
Regional Anatomy
Lymph Node Levels
Carotid Bulb
Transverse Process of C1
Historical Points.
Age:
Up to 15yrs (pediatrics)  more than 90% benign
16 to 40 (young adult)
More than 40yrs (older adults)  80% neoplasm  80% of
them malignant (secondary>>primary)
Time course
immunodeficiency
Prior trauma
Travel, Irradiation, Surgery
Associated symptoms  fever, dysphagia, weight loss, otalgia,
hearing loss, respiratory difficulties
Perform a FULL head and neck examination
Neck Masses:
Epidemiology
Adult neck masses are 90% malignant
Pediatric neck masses are rarely malignant.
Most common neck mass in children is an
enlarged reactive lymph node 2ry to
bacterial/viral infections
Almost 50% of all 2 Y/O children have
palpable normal cervical lymph nodes
Identification of Neck Masses On
Basis Of Their Location
Anterior Neck Swellings
Lateral Neck Swellings
Posterior Neck Swellings
Diffuse Neck Swellings
Identification of Neck Masses
On Basis of their location:
Submental (Inframyelohyoid) dermoid.
Lipoma.
Submental lipoma
Thyroglossal duct cyst TGDC.
Submental metastatic lymph nodes with rim enhancement.
Midline Thyrohyoid Region Supraglottic Carcinoma.
Midline Thyrohyoid Region Metastatic PTC
Chondrosarcoma of the Hyoid. Bone.
Midline (Pre-laryngeal/Laryngeal) Thyroid (Pyramidal Lobe PTC).
Midline (Suprasternal & Pretracheal) Jugular Vein Phlebectasia.
PTC metastasis in a Para-tracheal L.N.
Anterior Paramedian Region, laryngeal tumour.
Submandibular Sialadenitis.
Granulomatous Lymphadenitis(Sarcoidosis).
Lymphoma
Submandibular Lipoma.
Plunging Ranula.
CECT (A) shows a low density lesion in the sublingual space
(arrow) that extends posterior medial to the SMG(B).
Phlepoectasia (Common facial V)
T.B. Parotitis & Lymphadenitis
Atypical Mycobacterial Cervical Lymphadenitis.
2nd Arch Branchial Cleft Cysts
Branchial Cyst
Metastatic Lymph Nodes at carotid triangle.
B-Cell Lymphoma at carotid triangle.
Sympathetic Schwannoma Neurofibroma
Laryngomucocele
Posterior triangle L.N. enlargement may be due to; TB.
Supraclavicular lymph nodes..
Presentation1.pptx, radiological imaging of adult neck masses.
Presentation1.pptx, radiological imaging of adult neck masses.
Presentation1.pptx, radiological imaging of adult neck masses.
Presentation1.pptx, radiological imaging of adult neck masses.
Presentation1.pptx, radiological imaging of adult neck masses.
Presentation1.pptx, radiological imaging of adult neck masses.
Presentation1.pptx, radiological imaging of adult neck masses.
Presentation1.pptx, radiological imaging of adult neck masses.
Presentation1.pptx, radiological imaging of adult neck masses.
Presentation1.pptx, radiological imaging of adult neck masses.
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