Case scenario head and neck tumors
Patient presented right neck mass 20 years old how do you approach the patient.
Progressed from two months
not associated with pain hoarseness difficulty breathing, smelly mouth, fever, weightloss, epistaxis, smoking, medication, allergies, contacts, family
Differential cold abcess, lipoma, ln enlargement, carotid body tumour
Examine mass
Complete Head & neck + Scope
Cystic non tender at level sternocleidomastoid
branchial cyst
U/S investigation (pediatrics or thyroid), CT initially in adults
Midline mass
- Approach?
- history (1 week, suddenly, painful, redness, hotness, discharge)
- Exam (moves deligation, midline)
- Differential (Thyroglossal cyst)
Submandibular Mass
- pain on swallowing,
- scialothiasis most likely