How would you describe anterior neck mass?

A round and cystic mass within the anterior triangle of the neck is most likely a branchial cleft cyst in a person age 30 or younger. In a person over age 30, the mass should be considered malignant even if it looks to be a brachial cleft cyst on exam and imaging.

Why does thyroid mass move with Deglutition?

What Is the Significance of the Mass Moving Up and Down with Swallowing? The thyroid gland moves cranially when a patient swallows, due to its attachment to the trachea via the ligament of Berry.

Does Thyroglossal cyst move with swallowing?

Thyroglossal cyst is the most common congenital neck mass and occurs in 7% of the population [2]. The classic presentation is a midline, non tender, palpable mass that moves with swallowing and elevates on protrusion of the tongue.

Do neck lymph nodes move when swallowing?

Congenital masses are usually smooth and mobile. Reactive lymph nodes are mobile. Thyroid gland swellings and thyroglossal cysts move on swallowing, and a thyroglossal cyst moves when the tongue is moved outwards. A fluctuant mass suggests a cystic nature.

Does branchial cyst move with Deglutition?

Thyroglossal duct cysts present as a midline neck mass at or below the level of the hyoid bone, and it moves with swallowing.

What is supraclavicular mass?

Conclusion: The location of a cervical mass in the supraclavicular fossa provides a strong indication of malignancy. A biopsy is mandatory in the majority of patients presenting with a supraclavicular mass. In cases of metastatic disease, the location of a cervical mass helps identify the primary site.

Which cyst moves with deglutition?

Thyroglossal duct cyst (TDC) is a developmental anomaly that usually appears in early childhood. The common presentation is midline swelling of the neck, which moves with both tongue protrusion and deglutition.

Can thyroid nodules move?

Thyroid nodules are usually round in shape and move with the gland when you swallow. You may feel the nodule rolling underneath your fingertips or see it move when you swallow. A goiter (swelling) can be found on one side of the thyroid or on both sides.

Why does larynx move with deglutition?

When you swallow, a flap called the epiglottis moves to block the entrance of food particles into your larynx and lungs. The muscles of the larynx pull upward to assist with this movement. They also tightly close during swallowing. That prevents food from entering your lungs.

Are cancerous lymph nodes movable?

A soft, tender and moveable lymph node usually indicates that it’s fighting infection (not surprising at this time of the year). Nodes containing a spread of cancer are usually hard, painless and don’t move.

What is the lump in my neck that moves?

Most of the time it turns out to be swollen lymph nodes. They usually resolve on their own or with treatment for an underlying infection. Because even a soft, moveable lump can signal a serious condition, it’s important to see a doctor for examination.

What is the most common congenital neck mass?

The most common congenital head and neck masses are dermoid cysts, branchial cleft cysts and thyroglossal duct cysts.

Dermoid cysts are usually found on the scalp, face or neck.
Branchial cleft cysts develop in the neck of young children.

When to know if a neck mass is malignant?

How big is the mass on the anterior neck?

(+)4×5 cm mass on anterior neck, non-hard, non-tender, non-erythematous, moves with deglutition Always include an illustration of your PE findings. Anterior neck is too broad an area for the reader to decipher where the mass is exactly located. Adynamic precordium, distinct heart sounds, regular rhythm, no murmurs

What causes masses in the head and neck?

Less common masses arise from the major salivary glands or have congenital origins. It is uncommon to see neck masses arising from bone, cartilage, muscle, vasculature, or nerves of the head and neck.

What to do with a non-tender neck mass?

For almost all patients with a non-tender neck mass, except suspected vascular tumors, fine needle aspiration is a good next step. However, false results do occur and the technique is poor for ruling out lymphoma. Imaging for patients suspected to have a thyroid malignancy should consist of ultrasound of the neck.