Case 92: Neck swelling
A 47 year old man presented after noticing a lump in his left neck.
1. What are the differential diagnoses?
Lymph node - benign , malignant - primary or secondaryBranchial cyst
carotid body tumour
carotid artery aneurysm
lipoma
sarcoma
retropharyngeal abscess - bacterial, TB
sternomastoid tumour
2. In that position, what is the most likely diagnosis?
Just emerging from under the junction of the middle and upper thirds of the SCM - Branchial cyst.Otolaryngology Houston - Pictures and Imaging of Branchial Cleft Cysts
PubMed - Pearls and pitfalls in the management of branchial cyst.