Pediatric neck masses: a clinicopathological study

Seepana Soma Shekara Rao, Seepana Ramesh, Hanumanthu Ramesh, Kusuma Jeevan Pradep, Satvinder Singh Bakshi, Soumyajit Das


Background: Pediatric neck masses are one of the most commonly presenting problems in ENT practice. Based on the etiology they are classified as infectious, congenital or neoplastic. A detailed history and physical examination are essential to establish the diagnosis and treat them. The study was undertaken to assess the clinicopathological profile of the pediatric neck masses.

Methods: The present study was conducted for a period of 24 months between March 2015 to February 2017 in the Department of ENT, Government General Hospital Srikakulam in a tertiary care hospital in costal Andhra Pradesh.

Results: A total of 226 patients were enrolled into the study. Of them 132 were males and 94 female. Inflammatory swelling was most common etiology (76.1%) followed by congenital (16.3%) and neoplastic (7.5%).

Conclusions: In most cases of pediatrics neck masses diagnosis is made based on a detailed history and the findings of the physical examination. If radiological examination is required, US should be the first choice. Infectious and inflammatory diseases are the leading causes of neck masses in the pediatric age group.


Neck masses, Fine needle aspiration cytology, Infections

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Guarisco JL. Congenital head and neck masses in infants and children part I. Ear Nose Throat J. 1991;70(2):40-7.

Guarisco JL. Congenital head and neck masses in infants and children part II. Ear Nose Throat J. 1991;70(2):75-82 .

Foley DS, Fallat ME. Thyroglossal duct and other congenital midline cervical anomalies. Semin Pediatr Surg. 2006;15(2):70 -5 .

Telander RL, Deane SA. Thyroglossal and branchial cleft cysts and sinuses. Surg Clin North Am. 1977;57(4):779-91 .

Osifo OD, Ugiagbe EE. Neck masses in children: Etiopathology in a Tertiary Center. Niger J Clin Pract. 2011;14(2):232-6.

Al-Khateeb TH, Al Zoubi F. Congenital neck masses: A descriptive retrospective study of 252 cases. J Oral Maxillofac Surg. 2007;65(11):2242-7.

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.

Turkyilmaz Z, Karabulut R, Bayazit YA, Sonmez K, Koybasioglu A, Yilmaz M, et al. Congenital neck masses in children and their embryologic and clinical features. B-ENT. 2008;4(1):7-18.

Torsiglieri AJ, Tom LW, Ross AJ III, Wetmore RF, Handler SD, Potsic WP. Pediatric neck masses: guidelines for evaluation. Int J Pediatr Otorhino¬laryngol. 1988;16(3):199-210.

Showkat SA, Lateef M, Wani AA, Lone SA, Singh K, Yousuf I. Clinicopathological profile of cervicofacial masses in pediatric patients. Indian J Otolaryngol Head Neck Surg. 2009;61:141-6.

Gov-Ari E, Hopewell BL. Correlation between pre-operative diagnosis and post-operative pathology reading in pediatric neckmasses- a review of 281 cases. Int J Pediatr Otorhinolaryngol. 2015;79:2-7.

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;7:772.

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.