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    Lumps and Nodes

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    alen
    The document discusses ultrasound of the neck, focusing on lymph nodes and cysts. It notes that cysts often appear solid rather than cystic on ultrasound, while solid masses can sometimes appear cystic. Common pseudo-cystic masses include lymphoma, pleomorphic adenoma, nerve sheath tumors, and parathyroid adenomas. The document also reviews lymph node anatomy in the neck and techniques for ultrasound-guided biopsy.

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    Lumps and Nodes

    Uploaded by

    alen
    74 views102 pages
    The document discusses ultrasound of the neck, focusing on lymph nodes and cysts. It notes that cysts often appear solid rather than cystic on ultrasound, while solid masses can sometimes appear cystic. Common pseudo-cystic masses include lymphoma, pleomorphic adenoma, nerve sheath tumors, and parathyroid adenomas. The document also reviews lymph node anatomy in the neck and techniques for ultrasound-guided biopsy.

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    Limfni cvorovi-UZV

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    The document discusses ultrasound of the neck, focusing on lymph nodes and cysts. It notes that cysts often appear solid rather than cystic on ultrasound, while solid masses can sometimes appear cystic. Common pseudo-cystic masses include lymphoma, pleomorphic adenoma, nerve sheath tumors, and parathyroid adenomas. The document also reviews lymph node anatomy in the neck and techniques for ultrasound-guided biopsy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    74 views102 pages

    Lumps and Nodes

    Uploaded by

    alen
    The document discusses ultrasound of the neck, focusing on lymph nodes and cysts. It notes that cysts often appear solid rather than cystic on ultrasound, while solid masses can sometimes appear cystic. Common pseudo-cystic masses include lymphoma, pleomorphic adenoma, nerve sheath tumors, and parathyroid adenomas. The document also reviews lymph node anatomy in the neck and techniques for ultrasound-guided biopsy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 102
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    The text discusses ultrasound examination of the neck, different structures in the neck, lymph node examination, and rules for evaluating cystic versus solid masses.

    Cysts, lymph nodes, and other solid masses like tumors can be found in the neck. Specific mentions include cysts, lymph nodes, and pleomorphic adenoma.

    Rules discussed include that cysts don't usually look like cysts and may appear solid, cystic masses are often not truly cystic, and solid masses can sometimes appear cystic.

    Ultrasound of the Neck

    www.headandneckultrasound.co.uk

    Rhodri M Evans
    Ultrasound.

    • Rules
    • Lumps – cysts and nodes.
    • Needles.
    Lumps and bumps.
    Rules .
    • Cysts look solid.
    • Solids can look cystic.
    Rules .
    • Cysts don’t usually look like cysts.
    • Cysts will invariably look solid.
    • If a mass looks cystic,it probably won’t be
    a cyst.
    • Solids can look cystic
    Rules .
    • Cysts don’t usually look like cysts.
    • Cysts will invariably look solid.
    • If a mass looks cystic,it probably won’t be
    a cyst.
    • Solids can look cystic
    Cystic?
    Pseudo-cystic?
    Pseudo-cystic?
    • Lymphoma.
    • Pleomorphic adenoma.
    • Nerve sheath tumour.
    • Parathyroid adenoma.
    Normal lymph nodes.
    Normal lymph nodes.
    Normal lymph nodes.
    Normal lymph nodes.
    Lymphoma?
    Lymphoma
    Metastatic lymph nodes
    Malignant lymph nodes.
    Metastatic lymph nodes
    Metastatic lymph nodes
    Metastatic lymph nodes
    Normal lymph nodes.
    Normal lymph nodes.
    Malignant lymph nodes.
    Malignant lymph nodes.
    Malignant lymph nodes.
    Malignant lymph nodes.
    Lymph Node Examination

    3
    4
    5
    8 2 1
    6
    10
    7
    9
    Submental

    Digastric

    Mylohyoid
    Lymph Node Examination

    3
    4
    5
    8 2 1
    6
    10
    7
    9
    Submandibular
    Facial artery & vein

    Retro-
    Mandibul
    ar vein

    Digastric
    Lymph Node Examination

    3
    4
    5
    8 2 1
    6
    10
    7
    9
    Superficial
    Pre-auricular Parotid

    Sub fascial
    Pre-auricular

    Sub fascial
    Infra-auricular
    Deep intraglandular
    Lymph Node Examination

    3
    4
    5
    8 2 1
    6
    10
    7
    9
    masseter

    Facial artery

    mandible buccinator
    mucosa
    Lymph Node Examination

    3
    4
    5
    8 2 1
    6
    10
    7
    9
    Deep Cervical Chain

    Omohyoid

    CCA
    IJV
    Deep Cervical Chain
    Lymph Node Examination

    3
    4
    5
    8 2 1
    6
    10
    7
    9
    Lymph Node Examination

    3
    4
    5
    8 2 1
    6
    10
    7
    9
    Sternomastoid
    Transverse
    Cervical
    Scalenus anterior

    Clavicle

    Subclavian vein

    Subclavius

    Pectoralis
    Lymph Node Examination

    3
    4
    5
    8 2 1
    6
    10
    7
    9
    Anterior Cervical

    Pre Tracheal

    Para
    Tracheal

    CCA

    Longus Colli
    Lymph Node Examination

    3
    4
    5
    8 2 1
    6
    10
    7
    9
    Pseudo-cystic?
    • Lymphoma.
    • Pleomorphic adenoma.
    • Nerve sheath tumour.
    • Parathyroid adenoma.
    ? Lymphoma
    ? Lymphoma
    ? Lymphoma
    Pseudo-cystic?
    • Lymphoma.
    • Pleomorphic adenoma.
    • Nerve sheath tumour.
    • Parathyroid adenoma.
    Rules .
    • Cysts don’t usually look like cysts.
    • Cysts will invariably look solid.
    • If a mass looks cystic,it probably won’t be
    a cyst.
    • Solids can look cystic
    Cystic mass – upper cervical.
    • Second Branchial cleft cyst.
    • Metastatic lymph node : S.C.C.
    • Metastatic lymph node : Papillary
    Carcinoma Thyroid .
    Biopsy techniques
    • Parallelism
    • Needle
    • Operator
    • Monitor,brain and hands.

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