ABSTRACT
Las alteraciones congénitas del cuello constituyen un desafío para los médicos de familia y los especialistas. Aunque algunas de ellas son diagnosticadas de forma intrauterina, la mayoría permanecen silentes y se manifiestan en el contexto de infecciones a lo largo de la vida. La localización anatómica, la consistencia y la edad son determinantes en la orientación del posible diagnóstico. Una masa cervical en línea media infrahioidea hará pensar en un quiste tirogloso. Si es lateral, descartaremos un quiste braquial. Los estudios complementarios por imagen son fundamentales, sin olvidar pruebas anatomopatológicas como punción aspiración de aguja fina (PAAF) (AU)
Congenital neck masses are a challenge for general practitioners and specialists. Although some of them are diagnosed in utero, most of them remain silent until complications appear in the adult age. The anatomical location, consistency and age are determinants in guiding the possible diagnosis. A midline infrahyoid mass may be a thyroglossal cyst, however a lateral neck mass is more possible to result in a brachial cyst. Complementary imaging studies are essential such as pathological tests like needle aspiration fine needle aspiration (FNA) (AU)
Subject(s)
Humans , Male , Female , Neck/abnormalities , Diagnosis, Differential , Branchial Region/abnormalities , Branchial Region/pathology , Thyroglossal Cyst/diagnosis , Thyroglossal Cyst/therapy , Vascular Malformations/diagnosis , Vascular Malformations/therapy , Vascular Malformations , Family Practice/methods , Cervical Vertebrae/abnormalities , Cervical Vertebrae/pathology , Tomography, Emission-Computed , Thyroglossal Cyst , Torticollis/therapy , Teratoma/diagnosis , Teratoma/therapy , Thymus Gland/abnormalities , Laryngocele/diagnosisABSTRACT
Congenital neck masses are a challenge for general practitioners and specialists. Although some of them are diagnosed in utero, most of them remain silent until complications appear in the adult age. The anatomical location, consistency and age are determinants in guiding the possible diagnosis. A midline infrahyoid mass may be a thyroglossal cyst, however a lateral neck mass is more possible to result in a brachial cyst. Complementary imaging studies are essential such as pathological tests like needle aspiration fine needle aspiration (FNA).
