Friday, October 28, 2016

Common Head And Neck Masses

Common Head And Neck Masses

Thyroglossal duct cyst:

Location: Midline, near thyroid.
Embryology: Epithelial remnant of thyroglossal tract.
Treatment: Follow, or surgical removal if symptomatic.
                                                     Thyroglossal duct cyst

Branchial cyst:
Location: Anterior to sternocleido-mastoid, in lower portion of neck.
Embryology: First and second branchial arches; may include lymphoid tissue.
Treatment: Antibiotic therapy and removal.
                                                                 Branchial cyst

Dermoid cyst

Location: Anterior fontanelle, lateral forehead, upper eyelid
Embryology:Along fusion lines of neuronal axis or face, with lining of epidermis and keratin and mesodermal elements
Treatment: Potential for sinus development; surgical excision recommended.
                                                          Dermoid cyst

Epidermal cyst

Location: Any place
Embryology:Proliferation of epidermal cells within dermis that does not communicate with skin surface; an acquired lesion
Treatment: Watchful waiting or excision
                                               Epidermal sabeaceous  cyst

1 comment:

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