google ads
Number of Images to Date
  • 2
  • ,
  • 3
  • 8
  • 1

To Quiz Yourself: Select OFF by clicking the button to hide the diagnosis & additional resources under the case.

Quick Browser: Select ON by clicking the button to hide the additional resources for faster case review.

CASE NUMBER 303
Diagnosis

Dermoid Soft Tissues Neck

Note
18-year-old male with a palpable abnormality at the base of the neck anteriorly with occasional swelling. There is a rounded, well-circumscribed lesion in the anterior to the thyroid gland immediately deep to the overlying cutaneous surface which demonstrates T1 signal which is isointense to skeletal muscle, T2/STIR hyperintense, and diffusion restricting. There is faint wispy central contrast enhancement. The differential included thyroglossal duct cyst, lymphatic malformation, dermoid, epidermoid, bronchogenic cyst and thymic cyst. At surgical resection, this lesion was found to be a dermoid. Congenital cervical cystic lesions are usually slow-growing and typically cause symptoms because of either acute enlargement or superimposed infection. Painless soft tissue lesion or fluctuate mass is typically the first clinical manifestation. Dermoid cysts typically manifest in the second or third decade of life. No gender predilection is noted. The lateral eyebrow region is the most common site of a dermoid in the head neck region with the second most common site at the floor of the mouth.
Diagnosis Hidden - Click to View
Related videos to the case

Privacy Policy

Copyright © 2024 The Johns Hopkins University, The Johns Hopkins Hospital, and The Johns Hopkins Health System Corporation. All rights reserved.