Neck masses in children: Etiopathology in a tertiary center

Osifo, OD; Ugiagbe, EE

doi:10.4103/1119-3077.84027

Cited by 15 publications

(36 citation statements)

References 16 publications

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“…In line with our results, many other studies have reported that inflammatory lesions have the highest frequency among the head and neck masses in children; this frequency varied from 43.9% in the study by Lucumay (12) to 58% in the study by Al-Mayoof (13). However, some studies have reported that (15). In our study, inflammatory/reactive/infectious lesions showed a significantly higher frequency in males (2:1).…”

Section: Discussionsupporting

confidence: 90%

Frequency of Head and Neck Masses in Iranian Children During a 21-Year Period

et al. 2018

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Background: Head and neck masses are common in infants, children and adolescents. Etiologically, these masses are divided into three groups of inflammatory, congenital and neoplastic lesions. Their incidence rate has been variable in different parts of the world. This study aimed to determine the frequency of head and neck masses in Iranian children during a 21-year period. Methods: This retrospective, descriptive study was performed on medical files of patients between 2 to 12 years with pathological head and neck masses derived from the archives of the Pathology Department of Children's Medical Center of Tehran from 1995 to 2016. Age, gender, time of presentation, location of the lesions and final diagnosis were collected from patients' medical records and descriptively analyzed. Results: Of 594 children, 63.3% were males and 36.7% were females (male to female ratio of 1.7:1, P < 0.001). The mean age was 6.5 years (range 2 years and 2 months to 12 years). The highest prevalence belonged to inflammatory/reactive/infectious lesions (41.7%) followed by neoplastic lesions (35.7%) and congenital/developmental lesions (22.6%). In the neoplastic group, malignant and benign lesions had 26.6% and 9.1% prevalence, respectively. Lymphoma (22.4%; 16.3% Hodgkin and 6.1% non-Hodgkin), lymphadenitis (16.2%) and thyroglossal cyst (11%) were the most prevalent lesions. Conclusions: Based on the results, inflammatory lesions had the highest incidence among the head and neck masses in children. Malignant lesions were not uncommon among Iranian children.

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Section: Discussionsupporting

confidence: 90%

Frequency of Head and Neck Masses in Iranian Children During a 21-Year Period

et al. 2018

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“…Our study findings were similar to Showkat et al 8 Lucumay et al and Osifo et al reported a lower incidence which could be due to different demographic distribution of study population in these studies. 9,13 We had 23 cases (15.3%) of thyroglossal cyst in our study. All patients had slowly growing painless neck masses mostly in midline or anterior triangle of neck.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 It is a cause for anxiety as chances of malignancy are there. 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.…”

Section: Introductionmentioning

confidence: 99%

Clinicopathological study of pediatric neck masses

Gangwar

Vyas

Gakkar

2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Pediatric neck masses are a reason for anxiety for both patients and doctor as there can be chances of malignancy. There are few established guidelines for evaluation. The etiology is varied so a thorough knowledge of clinical presentation is essential. Methods: A clinicopathological analysis of 150 cases of neck masses in children upto 12 years of age attending the outpatient clinic between Jan 2015 to June 2016 were included. Results: Maximum cases of reactive lymphadenopathy were found in our study 81 (20.7%), 23 (14.7%) thyroglossal cyst, 22 (14.7%) suppurative lymphadenopathy, mycobacterial lymphadenitis 20 (13.3%), dermoid cyst 17 (11.3%), branchial cyst 15 (10%), tubercular abscess 10 (6.7%), 3 cases (2%) each of Hodgkins lymphoma, lipoma, non-Hodgkins lymphoma were seen. FNAC was conclusive in 140 cases (93.4%). Conclusions: Percentage wise inflammatory etiology was the commonest (55.4%) followed by congenital (38.6%) and last was neoplastic (6 %). An orderly and sequential approach is needed to manage pediatric masses.

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“…The causes of acute pediatric neck masses are highly variable and include infectious, congenital, inflammatory, and neoplastic lesions . The clinical approach to this broad differential diagnosis is complicated by the fact that approximately half of young children have palpable normal cervical lymph nodes, whereas parental anxiety often focuses on possible malignancy …”

mentioning

confidence: 99%

“…2 The clinical approach to this broad differential diagnosis is complicated by the fact that approximately half of young children have palpable normal cervical lymph nodes, 3 whereas parental anxiety often focuses on possible malignancy. 4 Although the history and physical examination are crucial diagnostic steps, children presenting to the PED with neck masses may have worrisome clinical features (eg, fever, neck stiffness, and rapid mass expansion) that trigger emergency physicians to perform laboratory and imaging investigations. Unfortunately, there are no published evidence-based guidelines for investigations of this cohort in the PED.…”

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confidence: 99%

Reliability of Neck Mass Point‐of‐Care Ultrasound by Pediatric Emergency Physicians

Friedman

Tseng

Savic

et al. 2019

J of Ultrasound Medicine

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Objectives Neck masses are a common reason for presentations to the pediatric emergency department (PED). We sought to determine the agreement and time difference between point‐of‐care ultrasound (POCUS) imaging by pediatric emergency physicians compared to radiology department imaging for children with neck masses in the PED. Methods We performed a retrospective study of patients aged 0 to 18 years presenting to our tertiary PED who received both POCUS by a pediatric emergency physician and radiology department imaging. Charts were reviewed for POCUS diagnoses, final diagnoses, and imaging time metrics. Results Seventy‐five patients met the study criteria. In 58 of 75 cases there was agreement between the POCUS diagnosis and final diagnosis (κ = 0.71; 95% confidence interval, 0.6–0.83). There was agreement in 25 of the 28 cases in which POCUS examinations were performed by PED physicians with fellowship training in POCUS (κ = 0.87; 95% confidence interval, 0.72–1.00). The results for POCUS were generated in a median of 115 minutes (interquartile range, 68–185 minutes) before radiology department imaging results. Conclusions Point‐of‐care ultrasound imaging by pediatric emergency physicians for children with neck masses is a promising new POCUS application that may be able to save time in the PED.

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Neck masses in children: Etiopathology in a tertiary center

Abstract: Many neck masses in otherwise healthy children in our setting were malignant. We advocate early surgical consultation and thorough histopathologic analysis of neck masses in children in our subregion.

Cited by 15 publications

References 16 publications

Frequency of Head and Neck Masses in Iranian Children During a 21-Year Period

Frequency of Head and Neck Masses in Iranian Children During a 21-Year Period

Clinicopathological study of pediatric neck masses

Reliability of Neck Mass Point‐of‐Care Ultrasound by Pediatric Emergency Physicians

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