Study on usual presentation of unusual neck masses in paediatric population

Authors

  • Kamalpreet Singh Department of ENT, 166 Military Hospital, Jammu, Jammu and Kashmir, India
  • Amrindarjeet Kour Department of ENT, 166 Military Hospital, Jammu, Jammu and Kashmir, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20191555

Keywords:

Neck mass surgery, Congenital, Inflammatory, Neo-plastic

Abstract

Background: A neck mass is defined as an abnormal lesion (congenital or acquired) that is visible, palpable, or seen on an imaging study. Neck masses are common in adults, but often the underlying etiology is not easily identifiable.

Methods: Total of 36 patients (24 males and 12 females) who fulfill the above criteria were collected over 1-year and enrolled in this study. The clinical history was obtained from the parents or the proxy of the patients. Each patient was physically examined and a proper laboratory and/or radiological investigations were carried on to achieve the definite diagnosis.  

Results: According to the aetiology, the inflammatory category was the main group accounting for 16 cases (44.4%), followed by the congenital category 9 (25%), neoplastic 8 (22.2%), and then the non-inflammatory non neoplastic 3 (8.3%). Thyroglossal duct cyst was the most common congenital mass observed in 4 (11.1%) cases, followed by branchial cleft cyst, cystic hugroma, hemangioma and finally dermoid.

Conclusions: The differential diagnosis of the pediatric neck mass includes a wide array of congenital, inflammatory, benign and malignant lesions.

Author Biography

Kamalpreet Singh, Department of ENT, 166 Military Hospital, Jammu, Jammu and Kashmir, India

Command Hospital  Air Force, Bangalore

References

Olsen KD. Evaluation of masses in the neck. Prim Care. 1990;17:415-35.

Beenken SW, Maddox WA, Urist MM. Workup of a patient with a mass in the neck. Adv Surg. 1995;28:371-83.

Gray SW, Skandalakis JE, Androulakis JA. Non-thyroid tumors of the neck. Contemp Surg. 1985;26:13-24.

Turkington JR, Paterson A, Sweeney LE, Thornbury GD. Neck masses in children. Br J Radiol. 2005;78:75-85.

Tracy TF, Muratore CS. Management of common head and neck masses. Semin Peiatr Surg. 2007;16:3-13.

Osifo OD, Ugiagbe EE. Neck masses in children: Etiopathology in a tertiary centre. Niger J Clin Pract. 2011;14:232-6.

Gosche JR, Vick L. Acute, subacute and chronic cervical lymphadenitis in children. Semin Pediatr Surg. 2006;15(2):99-106.

Bull P, Cavinatto JN. Head and Neck Tumors in children. In: Sih T, Chinski A, Eavey R, Godinho R. VII Manual of Pediatric Otolaryngology, IAPO. 7th ed. Sao Paulo: Life and Consciuosness. 2008: 106-112.

Prathima S, Suresh TN, Harendra KML, Krishnappa J. Fine Needle Aspiration Cytology in Pediatric Age Group with Special Reference to Pediatric Tumors: A Retrospective Study Evaluating Efficacy and its Diagnostic Role. Ann Med Health Sci Res. 2014;4(1):44-7.

Thorell EA, Chesney PJ. Cervical Lymphadenitis and Neck Infections. In: Kliegman RM, Jenson HB, Behrman RE, Stanton BF, Nelson WE, eds. Nelson Treaty of Pediatrics. 18th ed. Rio de Janerio: Elsevier; 2009: 143-155.

Erikci V, Hosgör M. Management of congenital neck lesions in children. J Plast Reconstr Aesthet Surg. 2014;67:217–22.

Al-Khateeb TH, Al Zoubi F. Congenital neck masses: A descriptive retrospective study of 252 cases. J Oral Maxillofac Surg. 2007;65:2242–7.

Foley DS, Fallat ME. Thyroglossal duct and other congenital midline cervical anomalies. Semin Pediatr Surg. 2006;15:70–5.

Al-Mayoof, Ali F. Neck masses in paediatric population: An experience with children attended the Central Teaching Hospital of Pediatrics in Baghdad 2008-2009. Afr J Paediatr Surg. 2015;12:136.

Ragesh KP, Chana RS, Varshney PK, Naim M. Head and neck masses in children: A clinicopathological study. Indian J Otolaryngol Head Neck Surg. 2002;54(4):268-71.

Lucumay EM, Gilyoma JM, Rambau PF, Chalya PL. Paediatric neck masses at a University teaching hospital in northwestern Tanzania: a prospective analysis of 148 cases. BMC Res Notes. 2014;7(1):772.

Meier JD, Grimmer JF. Evaluation and management of neck masses in children. Am Fam Physician. 2014;89:353–8.

Goins MR, Beasley MS. Pediatric neck masses. Oral Maxillofac Surg Clin North Am. 2012;24:457–68.

Ayugi JW, Ogeng’o JA, Macharia IM. Pattern of congenital neck masses in a Kenyan paediatric population. Int J Pediatr Otorhinolaryngol. 2010;74:64–6.

Ragesh KP, Chana RS, Varshney PK, Naim M. Head and neck masses in children: A clinicopathological study. Indian J Otolaryngol Head Neck Surg. 2002;54:268–71.

Osifo OD, Ugiagbe EE. Neck masses in children: Etiopathology in a Tertiary Center. Niger J Clin Pract. 2011;14:232–6.

Al-Khateeb TH, Al Zoubi F. Congenital neck masses: A descriptive retrospective study of 252 cases. J Oral Maxillofac Surg. 2007;65:2242–7.

Narayana Moorthy S, Arcot R. Thyroglossal duct cyst-more than just an embryological remnant. Indian J Surg. 2011;73:28–31.

Chan KC, Chao WC, Wu CM. Surgical management of first branchial cleft anomaly presenting as infected retroauricular mass using a microscopic dissection technique. Am J Otolaryngol. 2012;33:20–5.

Charabi B, Bretlau P, Bille M, Holmelund M. Cystic hygroma of the head and neck – A long-term follow-up of 44 cases. Acta Otolaryngol Suppl. 2000;543:248–50.

Mawn LA. Infantile hemangioma: Treatment with surgery or steroids. Am Orthopt J. 2013;63:6–13.

Downloads

Published

2019-04-26

Issue

Section

Original Research Articles