Pediatric Mass Lesions of the Head and Neck Region and Fine-Needle Aspiration Biopsy Results

Abstract

Objective: 1. To provide a classification of pediatric mass of the head and neck region and evaluate their frequency. 2. To examine the findings of fine-needle aspiration biopsy (FNAB) in pediatric patients along with its contribution to diagnosis. Methods:Totally, 233 pediatric patients (125 boys and 108 girls) operated at Başkent University for head and neck mass were included. Clinical, radiological, and histopathological data were retrieved from medical records. Results:The mean age was 119±65 months, and the mean duration of follow-up was 75±49 months. Localization of the masses was as follows: 208 (89%) in the neck, 21 (9%) in the oral cavity, 2 (1%) in the neck and nasopharynx, and two (1%) in the larynx. The most common surgical procedure was open excisional biopsy (n=105, 45%) followed by cystic mass excision (n=72, 31%) and salivary gland excision (n=33, 14%). Based on histopathological findings, benign cystic lesions were the most common disease group (n=77, 33.1%), whereas reactive lymphadenopathy was the most common condition (n=36, 15%) when a single disease was considered. Infectious/inflammatory diseases, malignancies, and benign salivary gland diseases were present in 49 (21%), 24 (10.3%), and 22 (9.4%) patients, respectively. FNAB was performed in 29.8% of the patients with an accuracy of 90.3% (95% CI, 80.1-96.4). Conclusion:The differential diagnosis of head and neck masses during childhood includes a wide spectrum with the different conditions being benign cystic diseases of congenital origin and reactive lymphadenopathies. Owing to its high predictive value, FNAB represents a rapid and reliable method that can be commonly used in both adult and pediatric patients.

Lesions that mimic malignant tumors in nasopharyngeal biopsies: case series of 10 years

“…Clinical and radiologic findings alone are not sufficient to give a definitive diagnosis. 3,7,8 The most common tumor-like lesion in the nasopharynx is adenoid hypertrophy. Adenoid hypertrophy is mostly seen in the pediatric age group.…”

Histopathological Records of Oral and Maxillofacial Lesions among Pediatric and Adolescent Patients in Sulaimani Governorate

“…According to the literature, thyroglossal duct cysts, branchial clefts, and arch anomalies are the most prevalent congenital anomalies among children [ 8 , 9 , 10 ], while viral or bacterial infections are considered to be the leading cause of cervical lymphadenopathy in young age groups [ 11 , 12 ]. On the other hand, malignant lesions are deemed uncommon and are spotted later in childhood or in the teenage years; however, lesions should be counted as neoplastic and possibly malignant until confirmed otherwise [ 5 , 7 , 13 ].…”