Neck lump

Parotid lump

Benign parotid tumour
Benign pleomorphic adenoma
Displace the ear lobe outward
Slow growing
Do not cause facial nerve paralysis
The most common parotid tumour

The adenolymphoma
A less common benign parotid tumour

Carcinoma of the parotid
Infiltrate the facial nerve causing facial palsy
Spread by local invasion and by lymphatics

Parotid calculus
Acute and painful swelling



Tumour of the submandibular gland
More common malignant
Do not displace the ear lobe



Brachial cyst
Cystic lump in the anterior triangle of sternomastoid
First appearance in the second or third decades
Squamous epithalium
Treat by surgical excision


Carcinoma of the thyroid
Papillary carcinoma
Solitary
Spread to the lymph node
Slow growing
Surgical excision

Follicular cell tumour
Multifocal
Spread through the blood stream to bone

Medullary tumour
Rear
Produce calcitonin, hypocalcaemia


Submandibular duct onstruction by stone
Sudden onset of pain
Bimanual palpation of the floor of the mouth
Confirmed by an intra-oral X-ray


Ranula
Cystic transilluminable swelling
Unroofing of fenedtration into the oral cavity



Congenital branchial fistual