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Contents

9.1 Introduction 264

9.2. Anatomy 264

9.2.1 Triangles of the Neck 264

9.2.2 Lymph Node Regions of the Neck 264

9.3 Cysts of the Neck 264

9.3.1 Developmental Cysts 265

9.3.1.1 Branchial Cleft Cysts, Sinuses and Fistulae 265

9.3.2 Branchiogenic Carcinoma 267

9.3.3 Thyroglossal Duct Cyst and Ectopic Thyroid 268

9.3.4 Cervical Thymic Cyst 269

9.3.5 Cervical Parathyroid Cyst 270

9.3.6 Cervical Bronchogenic Cyst 270

9.3.7 Dermoid Cyst 271

9.3.8 Unclassified Cervical Cyst 271

9.3.9 Non-Developmental Cysts 271

9.3.9.1 Ranula 271

9.3.9.2 Laryngocele 271

9.4 Cystic Neoplasms 272

9.4.1 Cystic Hygroma and Lymphangioma 272

9.4.2 Haemangioma 272

9.4.3 Teratoma 272

9.4.4 Cervical Salivary Gland Cystic Neoplasms 273

9.4.5 Miscellaneous Lesions 273

9.5 Paraganglioma 273

9.6 Unknown Primary and Secondary Tumours 274

9.6.1 Definition 274

9.6.2 Clinical Features 275

9.6.3 Search for the Primary Tumour 275

9.6.4 Common Location of the Primary Tumour 276

9.6.5 Histologic Type of Metastases and Immunohistochemical Features 276

9.6.6 Differential Diagnosis 276

9.6.7 Treatment and Results 278

9.7 Neck Dissection 278

9.7.1 Classification of Neck Dissections 278

9.7.2 Gross Examination of Neck Dissection Surgical Specimens 279

9.7.3 Histologic Evaluation of Neck Dissection 279

References 280

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