#neck mass

[bookpiofficial]

Scientific values of ECA Ligation | Chapter  06 | New Horizons in Medicine and Medical Research Vol. 8

Previously, carotid artery ligation was done as an emergency procedure to stop severe haemorrhages in the head and neck. Despite this, it was abandoned because to high patient mortality and morbidity. However, ECA ligation, a more selective branch of the carotid artery, has been popular for the same goal in recent decades due to the lack of or modest postsurgical problems compared to Transarterial embolization (TAE). However, a good surge seal pack, especially in the maxilla, is occasionally required to regulate both collateral circulation and backflow of blood from the internal carotid arteries distal to the carotid arteries (ICA). ECA ligation, on the other hand, might be a superior alternative for controlling life-threatening uncontrolled bleeding in this area. Author(S) Details Jachmen Sultana Department of Oral and Maxillofacial Surgery, Dhaka Dental College and Hospital, Bangladesh. Abul Bashar Department of Paediatrics, Comilla Medical College and Hospital, Bangladesh. Sobhan Morol Department of Oral and Maxillofacial Surgery, Dhaka Dental College and Hospital, Bangladesh. View Book:- https://stm.bookpi.org/NHMMR-V8/article/view/6644

[biomedres]

How To Approach Internal Jugular Vein Aneurysm; A Rare Cause of Neck Mass

How To Approach Internal Jugular Vein Aneurysm; A Rare Cause of Neck Mass by Hasan Emre Koçak in Biomedical Journal of Scientific & Technical Research (BJSTR) https://biomedres.us/fulltexts/BJSTR.MS.ID.000524.php

For more articles on BJSTR please click here: https://biomedres.us/index.php

For biomedical  open access journals

[medicalschool]

Branchial anomaly remnant with intracystic keratin pearls removed from the neck of a 10-year old male. The specimen mimics some kind of parasitic infection.

[cranquis]

Hi :) 'Toad with a node' here again- you asked for updates a while ago. Nothing very much has happened- the nodule is still painless unless I Iie on the wrong side at night or something. I it biopsied a few weeks ago and the sample came out benign though the doctor said that due to the nodule's size (6x7cm on the last scan), they can't really tell if it's benign or not without taking it out, so they're going to do a lobectomy in three weeks then see if they need to remove the other side later.

Thanks for the update on the progress of your neck mass, T with a N! I'm very glad to hear the biopsy was benign, and EQUALLY glad to hear that your doctor isn't ignoring the large size and rapid growth of the nodule. Good luck with the lobectomy, and keep me informed!

***Pending Cranquis-Mails: 1; Ask Box: Open***

[cranquis]

Hi Dr Cranquis(eek- just looked at the number of pending questions you have! Sorry for adding to the pile!)Toad With a Node here from a month or two ago ( http://cranquis.tumblr.com/post/3974447950/hello-dr-cranquis-yesterday-someone-pointed-out-i )I went to a doctor about the neck lump and was sent for an ultrasound which just said that there was a large (about 4cmx7cmx?) nodule on the left lobe of the thyroid starting to displace the trachea to the right, and a couple of small cysts scattered about. The doctor said that from the scan, it didn't look suspicious but surgery might still be an option because I'm young (from what I've read, under 20 and over 70 are the 'danger zones' as far as thyroid nodules go). They're going to biopsy it just to be on the safe side in a couple of weeks. I also did a few blood tests which showed that my thyroid appears to be functioning normally and I'm neither hyper nor hypo, which confused the doctor a little.I'm quite confused about other symptoms, which is why I'm asking you (my local doctor didn't seem to know much about it and my next hospital appointment isn't until mid-May so I'm not sure if I need to make another appointment before then). My family keeps noticing that my mood has changed over the last few months and I'm tired all the time- I'm not sure if this is relevant though, as I'm in my last year of school and important exams are looming so it could just be typical teenage stress. Though (after the last appointment) I've started to get a sore throat- my voice isn't croaky or anything though and the nodule seems to have grown again so that it's just touching the larynx- would this contribute to the sore throat? I know it's hard to tell just from an internet post, but do you think it is likely that they would decide to remove part of the thyroid? I'm mainly asking because the timing isn't great- I have a conditional offer for medical school, starting September but it all depends on me achieving very high grades in a series of exams which runs from the beginning of May to the end of June. The first one is a spoken exam so hopefully the sore throat will have laid off by then haha. Is there a chance that thyroid problems could lead to me not doing my best in exams? I really don't want to end up repeating them next year as it took a lot of work to get that offer for medical school.Sorry this is very long. To summarise: basically, I'm wondering if you think I should make another appointment with my GP or would it be ok just to leave it until mid-May?Thankyou

Hello again, Toad with a Node -- Ok, I have NO idea how much or how little of your thyroid they would want to remove. That specialized area where endocrinology and ENT combine is as out of my league as Megan Fox (and thankfully, just as uninteresting.) I don't think you can tell whether you need to have the nodule removed until the biopsy is done. But if you feel that the swelling is impinging on ("taking up space from") your voice box, you should definitely let the doctor know about that ASAP! A rapidly-growing thyroid nodule is (I seem to vaguely recall from my med school days) more likely to be infectious or cancerous?

Who is the "confused" doctor you've seen so far? The GP, or an ENT (Ears Nose and Throat) surgeon, or an endocrinologist? I sure hope you'll be getting an endocrine doc on board with this case!

If your thyroid levels are currently normal, then most likely your thyroid is still functioning well, and not causing your mood/fatigue problems -- but if the blood tests just happened to be done during a time when your thyroid is transitioning from a "overproductive" state (from the nodule growing rapidly) to an "underproductive" state (from your thyroid burning out after working too hard, under influence of the nodule), your lab might have been normal THEN but could be abnormal NOW. This is another reason that you should have an endocrinologist on board, if you don't already -- they know how to account for that kind of lab-result wackiness.

Good luck -- I'd love to get further updates from you as things get figured out!

***Pending Cranquis-Mails: 28; Ask Box: Closed***

[cranquis]

Hello Dr. CranquisYesterday someone pointed out I have a large, swollen lump on my neck- it's painless, I didn't even notice it, but I was wondering if you knew what it would be?It's at the front of the neck- one side is totally but the lump on the other side is pretty large, about 4cm in diameter. It's quite soft and seems to have just appeared out of nowhere.I've did a little research and looked at some images- it seems like it's a goitre. However, whilst it's probably harmless- is there any need to get it checked out if I'm not experiencing any 'symptoms' as such (with the obvious exception of a visible lump)? Would it be ok to leave it a little while to see if it disappears on its own?Most of the stuff I've read indicates that goitres are often due to iodine deficiency- I checked the sources of iodine and that's very unlikely. There is a lot relating to hyper/hypothyroidism. I don't know too much about thyroids but reading around the symptoms, this also seems unlikely- I'm an 18 year old female, maintain a normal, healthy weight and never experience poor health in any way. (And I'm definitely not pregnant...)So, any clues as to what might cause the quick appearance of a lump like this? And should I do anything about it?Thanks!

Hello there, Toad with a Node --

Well, there's a few possible causes (besides a thyroid goiter), and the potential diagnoses would depend greatly on exactly where the lump is located.

Smack dab in the anterior (front) midline of your neck, around the "Adam's Apple" that moves when you swallow: thyroid nodule (an isolated lump growing on the thyroid gland) or a goiter (diffusely enlarged thyroid gland) -- often slow-forming.

Smack dab in the anterior midline neck, but higher up than the thyroid location, near where the chin meets the neck: thyroglossal duct cyst -- can swell rapidly or slowly; often will "move" when you stick your tongue out.

Off to the side on the neck: branchial cleft cyst, cystic hygroma, ranula, an abscess/pus-pocket (which would certainly be painful), and (most commonly and nothing-to-worry-about) reactive lymph nodes swelling up in the anterior cervical or submandibular chains in response to a local viral/bacterial infection, which should calm back down within 4-6 weeks after the head cold, etc.

The rapid onset + the rather impressive size of your neck lump may bear checking out with a doctor. Definitely get it checked out if it is painful, oozing/leaking, red and hot to touch, continues to swell rapidly, causes trouble for opening your mouth or swallowing, or if it doesn't go away on its own in 3-4 weeks.

Good luck!

***Pending Cranquis-Mails: Lucky Number 20***

[cranquis]

Dr. Cranquis and the Pain(less) in the Neck

Patient: I'M TELLING YOU, THIS LUMP IN THE SIDE OF MY NECK IS AN ABSCESS AND IT NEEDS ANTIBIOTICS!

Cranquis: I disagree, sir. You yourself said that it showed up after you'd had some dental work, and the 2 weeks of antibiotics from your dentist didn't change it at all. I am pretty sure that it's just a reactive lymph node, especially since it doesn't hurt, it isn't getting bigger, it's not red, it's not draining, and there are a couple smaller lymph nodes nearby.

Patient: SO ARE YOU GONNA GIVE ME ANTIBIOTICS OR NOT!?

Cranquis: I think at this point, you should just put heat on it and stop touching it all the time. And then, if it starts to change in the ways that I've mentioned, or it doesn't go away in a couple weeks, let's have you see the ENT specialist to evaluate it.

Patient: THAT'S RIDICULOUS! I DON'T NEED A SPECIALIST, I NEED ANTIBIOTICS!

Cranquis: So basically, you want to keep doing what already didn't work.

Patient: ... YES.

Cranquis: Excellent choice, sir. Here's your prescription, and here's the ENT's phone number in case it still doesn't go away. Have a fabulous day. *stands up to walk out*

Patient: ... UM, WAIT A SECOND, DOC -- YOU MEAN MAYBE I DON'T NEED TO TAKE THESE ANTIBIOTICS?

(Cranquis: What could I possibly say to you at this time that will not REPEAT or CONTRADICT everything I've already said?!?)