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Benign vs Malignant
Amando Virgilio S. Santos, M.D.; DPBO; FPSO-HNS
OBJECTIVES
n Mass
n A lump or aggregation of coherent material
n An abnormal growth of tissue resulting from
uncontrolled, progressive multiplication of
cells & serve no physiologic functions
n Auscultation/ Transilluminate
Mass
n Pertinent questions
n What is the age of the patient?
n Is the mass growing rapidly?
n Is there evidence of infection or inflammation?
n Where in the neck is the mass located?
n Is the mass cystic or solid?
n Is there evidence of infection/malignancy elsewhere
in the head & neck?
n Fundamentals of Otolaryngology 6th ed - Boies
BENIGN MALIGNANT
Soft/Cystic Hard/Solid
Movable Fixed
n MRI
n Arteriography
n PET scan
n CXR
n PanEndoscpy
Common Masses
n Thyroglossal Duct
Cyst
n Formed due to
persistent thyroid
descent tract
n Foramen cecum of
tongue to thyroid gland
n Asymptomatic midline
mass elevates with
swallowing or tongue
protrusion
n Lymphatic Malformation
(Lymphangioma)
n Congenital malformation
resulting from failure of
lymph spaces to connect to
the rest of the lymphatic
system
n Soft, smooth, non tender
mass that is compressible
& can be transilluminated
n Branchial Cleft Cyst
n Formed from elements
of cervical sinus of His
becoming entrapped
without external &
internal opening
n Non-tender, fluctuant
mass
n Lymphadenophathy
n Reactive lymph nodes
from URTI
n 2 weeks of trial
antibiotic &/or
observation not to
exceed 2 weeks
n TB Adenitis/
Scrofula
n Lymphoma
n Most common
malignancy of head &
neck in children
n Malignant neoplasms
of lymphocytes & their
precursors
n Painless cervical mass,
rubbery with
constitutional sxs
n Metastatic
n Look for primary
tumor if present
Summary