Congenital Neck Masses

Pupić-Bakrač, Jure; Pupić‐Bakrač, Ana; Novaković, Josip; Skitarelić, Neven

doi:10.1097/scs.0000000000007122

Cited by 14 publications

(7 citation statements)

References 24 publications

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“…Thyroglossal duct cyst (TDC) and branchial cleft anomalies are the top 2 congenital neck masses ( 19 ). TDC is most commonly found at the level of the hyoid bone ( 20 ).…”

Section: Discussionmentioning

confidence: 99%

Heterotopic squamous epithelial inclusion cyst in a cervical lymph node in a child: a case report and literature review

Huang¹,

Ma²,

Pei³

2022

Transl Pediatr

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Background: A squamous epithelial inclusion cyst in a lymph node is a rare heterotopic phenomenon.Heterotopic squamous inclusion cysts in cervical lymph nodes are even rarer, and to date, only 3 such cases have been reported in the literature, none of which have described the ultrasound features. Here, we report a pediatric case, focusing on the ultrasonographic manifestations of the disease and the differential diagnosis of cervical space-occupying lesions in children.Case Description: We report the case of a 6-year-old boy in good health, who presented with a nontender mass on the right side of the neck 1 month earlier. Some 7 days before admission, the mass gradually increased in size and became tender. Laboratory tests showed an increase in C-reactive protein of 17 mg/L (normal range: 0-8 mg/L). The physical examination revealed a palpable 3.0 cm × 2.0 cm mass with tenderness and poor mobility in the right submandibular region. Doppler ultrasonography showed an oval, ill-defined mass in the right submandibular area, consisting of a peripheral homogeneous hypoechoic component with hilar-like vascularity and an internal heterogeneous very hypoechoic component with patchy hyperechoic areas. The computed tomography (CT) scan showed a heterogeneously hypodense mass with irregular annular enhancement in the right submandibular region. Lymph node tuberculosis or spaceoccupying lesions were suspected based on the clinical and imaging findings. The mass was completely excised by surgery. The pathological diagnosis was a secondary infection of squamous epithelial inclusion cysts in the right cervical lymph node. The peripheral homogeneous hypoechoic component was normal lymph node tissue, and the internal heterogeneous very hypoechoic component was a squamous inclusion cyst with keratin debris. The patient was followed up for a total of 3 times after surgery, and no recurrence of the tumor was found.Conclusions: Ultrasonography can help in the early diagnosis of heterotopic squamous inclusion cysts in children's cervical lymph nodes, and can be used to differentiate other cervical lesions. We reviewed the literature and found that this heterotopic phenomenon was more likely to occur in the submandibular region of the neck in younger patients. Surgery may be an effective treatment for this disease.

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“…Thyroglossal duct cyst (TDC) and branchial cleft anomalies are the top 2 congenital neck masses ( 19 ). TDC is most commonly found at the level of the hyoid bone ( 20 ).…”

Section: Discussionmentioning

confidence: 99%

Heterotopic squamous epithelial inclusion cyst in a cervical lymph node in a child: a case report and literature review

Huang¹,

Ma²,

Pei³

2022

Transl Pediatr

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“…Tireoglosalne ciste pripadaju najčešćim kongenitalnim malformacijama vrata. 1 Predočavaju se kao otekline u središnjem dijelu vrata, od korijena jezika do prsne kosti, osobito izražene pri protruziji jezika ili prilikom gutanja. 2 Najčešće se dijagnosticiraju u mlađoj životnoj dobi kliničkim pregledom potkrijepljenim ultrazvučnim pregledom vrata, eventualnom citopunkcijom i višeslojnom kompjuteriziranom tomografijom (MSCT) vrata.…”

Section: Uvodunclassified

“…7 Mogućnost recidiviranja je oko 50%, ukoliko je ekstirpirana samo cista, dok pri resekciji središnjeg dijela jezične kosti stopa recidiva pada na 20%, a još više se umanjuje ekscizijom cističnoga tkiva prema bazi jezika. 1,8…”

Section: Uvodunclassified

Suprahioidna lokalizacija upaljene tireoglosalne ciste

Novaković

Perković

Penezić

2023

Med. Jadert. (Online)

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Uvod: Tireoglosalne ciste pripadaju najčešćim kongenitalnim malformacijama vrata. Nastaju zbog nepotpuna sraštavanja tireoglosalnog kanala. Predočavaju se kao otekline u središnjem dijelu vrata od korijena jezika do prsne kosti. Najčešće se dijagnosticiraju u mlađoj životnoj dobi. Lokalizirane su najčešće oko jezične kosti, a većina ih je smještena infrahioidno (65-80 %). Prikaz bolesnice: Žena, u dobi od pedeset šest godina javila se u hitnu otorinolaringološku ambulantu radi bolnosti desne strane vrata posljednjih dvanaest dana. Liječnik obiteljske medicine ordinirao je antibiotik kroz sedam dana, bol je regredirala, da bi se ponovno javila nakon nekoliko dana, te je ordiniran drugi antibiotik uz koji su tegobe perzistirale. Žalila se na oteklinu submentalno i bolno gutanje. U kliničkom statusu uočena je suprahioidna bolna oteklina, veličine 3 cm, uz bolno otvaranje usta. Učinjena je višeslojna kompjuterizirana tomografija vrata kojom je prikazana cistična tvorba iznad milohioidnog mišića. Upalni parametri su bili povišeni. Bili su prisutni i znaci okolnog celulitisa subkutanog tkiva submandibularne regije. Bolesnica je hospitalizirana, te je ordinirana parenteralna antibiotska terapija, na što je došlo do pada upalnih parametara i poboljšanja općeg stanja, te je peti dan hospitalizacije operirana. U općoj anesteziji učinjena je ekstirpacija medijalne suprahioidne ciste postupkom po Sistrunku. Bolesnica je nakon dva dana otpuštena na kućno liječenje uz peroralnu terapiju klindamicinom. Patohistološki nalaz upućivao je na upalno promijenjenu tireoglosalnu cistu. Na redovnim kontrolama otorinolaringologa, tri mjeseca nakon operacijskog zahvata, nije bilo znakova recidiva bolesti. Zaključak: Tireoglosalna cista dna usne šupljine je rijetka, osobito kod odrasle osobe u dobi od pedestšest godina. Potrebno je učiniti temeljiti klinički pregled, te diferencijalno dijagnostički razmišljati o tireoglosalnoj cisti kod bolesnika s oteklinom u području dna usne šupljine, a dijagnozu je potrebno potkrijepiti odgovarajućim dijagnostičkim metodama. Liječenje je kirurško uz empirijsku antimikrobnu terapiju. Pojava recidiva je rijetkost ukoliko je operacijski postupak proveden prema pravilima struke.

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“…2,3 Branchial cleft anomalies account for approximately 40% of congenital neck masses and are the second most common cause of congenital neck masses in children, preceded only by thyroglossal cysts which account for approximately 43% of cases. 4 Gender distribution is similar for both male and female fetuses. 3,5,6 There is no racial predilection.…”

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confidence: 92%