Neck swelling differential diagnosis -thyroid mass ;multinodular goiter, anaplastic cancer of thyroid. Pt doesnt have eye signs suggestive of hyperthyroidism -Bilateral carotid aneurysms; frequently seen in HIV vasculitis thus always have to auscultate any neck mass -Lymphadenopathy; TB lymphnodes or lymphoma -Glomus jugulare tumours Im this case, the anatomy of the mass suggests a thyroid mass Concerns are that of airway obstruction, SVC obstruction and possible retrosternal spread causing it to behave like a superior mediastinal mass. Also the endocrinological effects associated with the mass.
Neck swelling differential diagnosis -thyroid mass ;multinodular goiter, anaplastic cancer of thyroid. Pt doesnt have eye signs suggestive of hyperthyroidism -Bilateral carotid aneurysms; frequently seen in HIV vasculitis thus always have to auscultate any neck mass -Lymphadenopathy; TB lymphnodes or lymphoma -Glomus jugulare tumours -Soft tissue mass e.g lipoma -Uncorrected cystic hygroma In this case, the anatomy of the mass suggests a thyroid mass Concerns are that of airway obstruction, SVC obstruction and possible retrosternal spread causing it to behave like a superior mediastinal mass. Also the endocrinological effects associated with the mass.
