Benefits of ultrasound vs. computed tomography in the diagnosis of pediatric lateral neck abscesses

Collins, Benjamin; Stoner, Julie A.; Digoy, G. Paul

doi:10.1016/j.ijporl.2013.11.034

Cited by 28 publications

(16 citation statements)

References 11 publications

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“…Ultrasound is faster, cheaper, and more widely available than other imaging techniques, and it is highly accurate in detecting neck masses and evaluating the local extent of disease [ 10 ]. Although it cannot distinguish between PC and other cervical diseases, ultrasonography may reveal a nonspecific cystic structure and establish its proximity to the thyroid gland [ 4 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

Parathyroid cysts: experience of a rare phenomenon at a single institution

Xia

et al. 2018

BMC Surg

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BackgroundParathyroid cysts are relatively uncommon lesions and are often misdiagnosed. We evaluate our experience in the diagnosis of and therapy to correct parathyroid cystic lesions.MethodsWe retrospectively reviewed a series of 32 patients with parathyroid cysts who were admitted to our department between July 2011 and November 2016. Clinical pathological features of the patients, including age, gender, location, size, ultrasonography, histopathology, surgery, and follow-up, were analyzed.ResultsThere were 22 female and 10 male participants with a median age of 46.7 years old (27–76 years old). Only two cysts were found in the superior mediastinum. The rest were located under the lower pole of the thyroid. All of the patients underwent ultrasonography scans and serum parathyroid hormone (PTH) assays. Three patients had elevated serum PTH levels, and they were further scanned with Tc99m sestamibi as functional cysts. In 29 cases of nonfunctional cysts, 3 cases were preoperatively diagnosed by cystic aspiration with PTH detection. The rest were diagnosed by postoperative immunopathology. All of the patients underwent cystectomy, and 24 patients also underwent thyroidectomy. There was a significant difference in cyst diameter size between the cystectomy alone and cystectomy with thyroidectomy groups (4.0 ± 2.0 vs 1.5 ± 1.0 cm; p < 0.05). No participant experienced recurrence during the median 36 months of follow-up.ConclusionsCystic lesions located under the lower pole of the thyroid gland should be considered to have originated at the parathyroid gland. Cystic aspiration with PTH detection or postoperative immunopathology can lead to a definitive diagnosis. Cystectomy is still a commonly used and effective treatment.

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Section: Discussionmentioning

confidence: 99%

Parathyroid cysts: experience of a rare phenomenon at a single institution

Xia

et al. 2018

BMC Surg

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“…Recent studies highlight the importance of this technique in the early diagnosis of pediatric neck masses due to high accuracy, safety, easy access, low complication rate and tolerability. 7,32,33 Infectious and inflammatory diseases are the leading causes of neck masses in the pediatric age group. However, the presence of neoplastic disease in the pediatric population, especially lymphoma, can mimic benign diseases, which should draw attention to the warning signs.…”

Section: Discussionmentioning

confidence: 99%

Etiopathological study of pediatric neck masses in a rural population

Shariff

2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Neck mass in pediatric age group is a common clinical condition encountered by an ENT Specialist. Detailed clinical examination and knowledge of the common neck masses in children, which differ from those in adults is vital in early diagnosis and treatment. Diagnostic modalities such as Ultrasonography, Computerised Tomography, Fine needle aspiration cytology (FNAC) and histopathological examination aids in the diagnosis of superficial neck masses. The majority of neck masses in the pediatric population are congenital or inflammatory in origin and some are neoplastic. This study was conducted to establish the various causes of neck masses and the site of origin of neck masses in pediatric patients attending ENT OPD.Methods: 50 patients in the age group of 1 month to 18 years presenting with neck masses to the ENT OPD of Vinayaka Mission’s Medical College and Hospital, Karaikal were included in the study. This was a prospective study conducted for a period of 2 years. All the cases underwent FNAC. Biopsy and histopathological examination was done in cases where the cytological diagnosis was inconclusive. Results: Of the 50 cases clinically evaluated, 24 were lymph node swellings, 7 were thyroid swellings, 8 were salivary gland swellings, 10 were congenital neck swellings, with 1 swelling being due to other cause.Conclusions: Inflammatory swelling arising from the Lymph nodes were the commonest cause of neck swelling in pediatric patients. Neck swellings were located most commonly in the Submandibular triangle in the study.

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“…Colorflow Doppler US is also helpful for characterizing vascular flow in solid lesions [41,104]. US may suffice for evaluation of superficial infection [105].…”

Section: Variant 3: Parotid Region Mass(es) Initial Imagingmentioning

confidence: 99%

ACR Appropriateness Criteria® Neck Mass-Adenopathy

Imaging¹

2019

Journal of the American College of Radiology

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Benefits of ultrasound vs. computed tomography in the diagnosis of pediatric lateral neck abscesses

Cited by 28 publications

References 11 publications

Parathyroid cysts: experience of a rare phenomenon at a single institution

Parathyroid cysts: experience of a rare phenomenon at a single institution

Etiopathological study of pediatric neck masses in a rural population

ACR Appropriateness Criteria® Neck Mass-Adenopathy

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