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cervical cystic lymphangioma examination, diagnosis of cervical cystic lymphangioma

cervical cystic lymphangioma examination, diagnosis of cervical cystic lymphangioma

Common examination of cervical cystic lymphangioma

Inspection Name Inspection Site Inspection Department Inspection Function
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1. Physical examination

1. Cystic mass in the posterior triangle area of ​​the neck, which has the characteristics of spreading and growing to four blows (upper and lower clavicle, floor of mouth, side of trachea and esophagus and mediastinum). The boundary is often unclear. It is more common in infants and young children. It is huge at birth and can grow gradually. Big. \n2. The cyst tumor is soft, generally non-compressive, transparent, and the surface skin is normal without adhesion. \n3. The content is pale yellow, transparent or chylo-like, occasionally bloody, and a large number of lymphocytes containing cholesterol crystals can be seen under the microscope. \n4. Cystoma may have speech, breathing or swallowing disturbances when it involves the floor of the mouth, tongue or pharynx. When the cystoma is located on the clavicle, there may be dyskinesia or muscle atrophy due to brachial plexus compression, and sometimes tracheal compression Shift.

2. Inspection method

The subject is sitting with his arms drooping and his head slightly lowered. The stroke examiner touches the neck with the tips of two fingers from the back, and contrasts both sides. Check the stroke in the following order: ① submental and submandibular lymph nodes; ② deep upper cervical group lymph nodes; ③ anterior and deep cervical middle and posterior group lymph nodes; ④ occipital lymph nodes; ⑤ acromioclavicular lymph nodes. Lymph nodes belonging to the posterior segment of the nasal cavity and nasopharynx include the upper and posterior groups of deep cervical lymph nodes where the sternocleidomastoid muscle is attached; those belonging to the oropharynx and throat include submandibular lymph nodes, subhyoid lymph nodes, and deep cervical lymph nodes. And the posterior group of deep cervical lymph nodes. The anterior larynx lymph nodes can sometimes be felt on the anterior cricothyroid membrane of the neck.

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