31. Congenital malformations of the neck, benign tumours of the neck

From greek.doctor

Congenital malformations of the neck

  • Thyroglossal duct cyst
    • Remnant of thyroglossal duct
    • Diagnosis in first years of age
    • Painless, firm midline neck mass
      • Moves when swallowing or moving tongue
    • Dysphagia
    • Surgical excision
    • Complication
      • Abscess formation
  • Branchial cleft cyst
    • Remnant of second branchial cleft
    • Undiagnosed cyst in young adults becomes infected
    • Painless, firm lateral/midline mass
      • Does not move when swallowing
    • Surgical excision
  • Lymphangioma
    • Consists of cyst-like cavities containing lymph
    • Soft, compressible, painless neck mass
    • In region V/posterior triangle
    • Dysphagia
    • Surgical excision



Benign tumours of the neck

  • Rare
  • Lipoma
    • Painless, soft
    • Surgery for cosmetic
  • Madelung disease
    • In alcoholics
    • Surgical removal
    • Cancer risk
  • Carotid paraganglioma
    • Painless, pulsatile mass at the carotid bifurcation
    • Clinical features
      • Dry cough (vagus irritation)
      • Hoarseness (vagus irritation)
    • Surgical removal