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Neck swellings derived from unpaired midline structures

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

These swellings tend to lie in the midline.

The most common causes of a neck swelling derived from a midline unpaired structure are:

  • congenital anomalies
    • thyroglossal cyst (the most common congenital anomaly of the midline of the neck)
    • thymic rests (1)
    • dermoids (1)
  • other lesions include:
    • pharyngeal pouch
    • laryngocoele
    • subhyoid bursa
    • carcinoma of the larynx, trachea and oesophagus
    • sublingual dermoid cyst
    • plunging ranula

Reference:

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