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A neck mass or neck lump is an ambiguous mass found in the neck area. There are many different possible causes, [1] including head and neck cancer [2] and congenital conditions like branchial anomalies and thyroglossal duct cysts. [3]
The supraclavicular fossa is an indentation (fossa) immediately above the clavicle. In terminologia anatomica, it is divided into fossa supraclavicularis major and fossa supraclavicularis minor. Fullness in the supraclavicular fossa can be a sign of upper extremity deep venous thrombosis.
[10] [17] The fat deposited around the front of the neck is known as Madelung's collar or horse collar. [13] [5] Fat deposited on the back of the neck between the shoulder blades is known as a dorsocervical fat pad or buffalo hump. [13] [18] Fat deposited in the parotid region is known as hamster cheeks. [10]
Supraclavicular lymph nodes are lymph nodes found above the clavicle, that can be felt in the supraclavicular fossa. The supraclavicular lymph nodes on the left side are called Virchow's nodes. [1] It leads to an appreciable mass that can be recognized clinically, called Troisier sign. [2]
Around 2% of the general population has a lipoma. [2] These tumors can occur at any age, but are most common in middle age, often appearing in people from 40 to 60 years old. [27] Cutaneous lipomas are rare in children, but these tumors can occur as part of the inherited disease Bannayan-Zonana syndrome. [40] [41]
The mass is usually in the neck (hence the name "nuchal-type"), but it can be seen in the extremities, lumbosacral area, buttocks, and face. [ 2 ] [ 4 ] There is a strong association with diabetes mellitus and Gardner syndrome ; in fact, it may be the initial manifestation of Gardner syndrome.
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Thyroglossal cyst usually presents as a midline neck lump (in the region of the hyoid bone) that is usually painless, smooth and cystic, though if infected, pain can occur. There may be difficulty breathing, dysphagia (difficulty swallowing), or dyspepsia (discomfort in the upper abdomen), especially if the cyst becomes large.