Acute, subacute, and chronic cervical lymphadenitis in children

Abstract

Lymphadenopathy refers to any disease process involving lymph nodes that are abnormal in size and consistency. Lymphadenitis specifically refers to lymphadenopathies that are caused by inflammatory processes. Cervical lymphadenopathy is a common problem in the pediatric age group and is largely inflammatory and infectious in etiology. Although most patients are treated successfully by their primary care physician, surgical consultation is frequently required for patients who fail to respond to initial therapy or for those in whom there is an index of suspicion for a neoplastic process. This article addresses current approaches to the diagnosis and management of cervical lymphadenitis in children.

Clinicopathological study of pediatric neck masses

“…3 Etiology is divided into three groups-inflammatory or infectious, abnormal embryonic development and neoplastic. 4 Fortunately benign masses are more frequently encountered which are reaction to the upper airway infection. [5][6][7] Problems related to precise diagnosis and proper management of a child with head and neck mass is challenging for both the surgeon and the pathologist.…”

Cervical Lymphadenitis

“…3 Common agents in the United States include nontuberculous mycobacteria, cat-scratch disease (B henselae), and rarely, opportunistic fungal and parasitic infections, including T. gondii infection. Unlike acute bacterial lymphadenitis, these infections less frequently suppurate and are more often associated with diffuse lymphadenopathy.…”

A Case of Pediatric Nodal Marginal Zone Lymphoma

“…4-8세 사이의 건강한 소아에서는 양성 질환 또는 특별한 원인이 없이 발생하는 림프절 비대가 90% 정도를 차지하지만, 일차적 검진을 통해 악성 림프절의 질환을 감별하는 것은 매우 중요하다 [2]. 부드럽고 유동적인 림프절은 양성 질환을 시사하며, 크기는 대부분 2 cm 미만이 다 [3]. 반면 크기가 크거나 단단한 림프절은 악성을 시사하 며, 부동적인(immovable) 경우에는 침습적 종양을 의심할 수 있다.…”