neck swelling.pptx

for MBBS students

1. Neck swelling & cervical lymphadenopathy Dr. Nabarun Biswas Registrar Surgery MMCH

2. Triangles of neck

3. Classification:

4. Midline cystic swelling Ranula Dermoid Sub hyoid bursa Thyroglossal cyst Cyst in isthmus Cold abscess

5. Ranula Dermoid

6. Midline solid swelling

7. Lateral neck swelling Sub mandibular triangle Carotid triangle Posterior triangle

8. Sub mandibular triangle

9. Carotid triangle Posterior triangle

10. Posterior triangle Cystic Cystic hygroma Solitary lymphatic cyst Cold abscess Pharyngeal pouch Solid Lymph node Cervical rib

11. Cold abscess

12. Swelling anywhere in the neck Sebaceous cyst Lipoma Fibroma Neurofibroma Hemangioma

13. 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 Only thyroglossal cyst moves up with tongue protrusion

14. 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 80%

15. Cervical lymph nodes

16. Cervical lymph nodes level

17. Causes of lymphadenopathy