Unusual neck masses encountered in remote areas of Sikkim

Authors

  • Santosh Prasad Kesari Department of ENT, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim, India
  • Priyanko Chakraborty Department of ENT, MGM Medical College, Kishanganj, Bihar, India
  • Aseem Anand Department of ENT, MGM Medical College, Kishanganj, Bihar, India
  • Subhasish Mukherjee Department of ENT, MGM Medical College, Kishanganj, Bihar, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20233582

Keywords:

Neck mass, Venous aneurysm, Thyroid lump, Tubercular lymphadenopathy

Abstract

Neck masses are one of the most common presentations in the ENT practice and they are a challenge in the diagnosis and management. The masses may be of congenital, inflammatory, or neoplastic origin. An accurate clinical assessment conducted while taking into account pertinent anatomical and developmental viewpoints, accompanied by well-planned investigative parameters, may aid in making an early diagnosis. Our is a series of three cases where in which we have described the finding of all the three cases in detail, first case is of 70 years female with right sided neck swelling which ultimately turned out to be right venous aneurysm. Second being a case of a young kid misdiagnosed as other infections and treated for long time, which ultimately responded with ATT. Lastly, a young kid presenting with multinodular goitre. We need to be ready for surprise and be ready to deal with unusual cases with different management options.

References

Nicollas R, Guelfucci B, Roman S, Triglia JM. Congenital Cystsand Fistulas of The Neck. Int J Pediatr Otorhinolaryngol. 2000;55(2):117-24.

Ved R, Jones J, Drage N, Fardy M. Cutaneous neck lesion of occult odontogenic origin: search for the tooth. BMJ Case Rep. 2016;2016:bcr2016217492.

Lang S, Kansy B. Cervical Lymph node diseases in children. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2014;13:Doc08.

Deviprasad D, Shetty A, Kamath MP, Bhojwani K, Supriya MK. Neck swelling: unusual manifestation of pott’s spine. Egypt J Ear Nose Throat Alli Sci. 2014;15(2):135-7.

Grigorescu I, Dumitrascu DL, Manole S, Fodor D. Pseudoaneurysma of the external jugular vein communicating with the internal jugular vein. Med Ultrasonography. 2012;14(3):257-60.

Karapolat S, Erkut B, Unlu Y. Multiple aneurysms of the left external jugular vein. Turk J Med Sci. 2005; 35:43-45

Gothi D, Jaswal A, Spalgais S. Lymph node tuberculosis. EC Pulmonol Respiratory Med. 2016;2(5):194-211.

Mohapatra PR, Janmeja AK. Tuberculous Lymphadenitis. JAPI. 2009;57:585-90.

Taşbakan MS, Pullukçu H, Sipahi OR, Taşbakan MI, Çalık SO, Yamazhan T. Evaluation of 694 tuberculous lymphadenitis cases reported from Turkey between 1997-2009 period by pooled analysis method. Mikrobiyol Bul. 2010;44(3):385-93.

Kent DC. Tuberculous lymphadenitis:not a localized disease process. Am J Med Sci. 1967;254(6):866-74.

Sengupta S, Tuli IP, Baruah B, Kesari SP, Ilapakurty B et al. Spectrum of goitrous lesions in a tertiary care center of Sikkim. Sahel Med J. 2014;17(3):112-6.

Ghaneim A, Atkins P. The management of thyroglossal duct cysts. Int J Clin Pract. 1997;51(8):512-3.

Cooper DS, Doherty GM, Haugen BR, Kloos RT, Lee SL et al. Management guidelines for patients with thyroid nodules and differentiated thyroid cancer: The American Thyroid Association Guidelines Taskforce. Thyroid 2006;16(2):109-42.

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Published

2023-11-27

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Section

Case Series