上海交通大学耳鼻咽喉科学英文版课件 differential diagnosis of neck lump.ppt

Differential diagnosis of neck lump classification inflammation：acute, chronic；specific, nonspecific trauma：hematoma、false aneurysm neoplasm： benign or malignancy：more in benign malignant：primary, metastasis； deformity：angioma、cyst Differential diagnosis of neck lump General law Duration： 7d inflammation，7M neoplasm，7y deformity propery： 80%malignant in neoplasm 80% metastasis in malignancy 80% head and neck source in metastasis site： metastasis in left supraclavicularis from left chest or abdomen, in right from right chest Differential diagnosis of neck lump Common tumor middle：thyroid tumor, thyroglossal cyst sternocleidomastoid muscle region： metastasis, neural tumor, branchial cyst, adenitis, carotid body tumor Submaxillary triangle：neoplasm of submaxillary gland, adenitis Postmaxillary region：neoplasm、neural tumor Posterior region of neck ：adenitis, metastasis Differential diagnosis of neck lump Assistant examination B ultrasound CT MRI DSA puncture Pathological examination：cell、tissue Differential diagnosis of neck lump inflammation：short duration，local pain, haphalagesia，change in size，antiinfection operative Benign tumor：grow slowly, no pain, mestexture，smooth face Primary malignance：progressive growth, short duration, rough face, hard texture, poor activity Differential diagnosis of neck lump metastasis：most in sternocleidomastoid muscle region，progressive growth，poor activity。Symptoms of primary lesion Deformity: long duration，slowly growth， cyst feeling evident ，can get liquids from the lump treatment of neck lump inflammation：anti-infection Benign tumor： surgery Primary malignancy：chemotherapy or radiotherapy， surgery metastasis：radiotherapy, neck dissection deformity：surgery trauma：surgery Deformity of neck thyroglossal cyst or fistula: thyroglossal dust irregression during embryo Classification of fistula： complete—outer fistulous i