Clinicopathological study of pediatric neck masses

Navneeta Gangwar, Pratibha Vyas, Saurabh Gakkar


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.


Pediatric neck masses, Etiology, Diagnosis, FNAC

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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.

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(2):141-6.

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

Ingale AV, Bhogavar S. A clinicopathological profile of significant cervical lymphadenopathy in children aged 1-12 yrs and its management. Int J Recent Trends Sci Tech. 2015;16(3):624-7.

Al-Mayoof AF. Neck masses in pediatric population: An experience with children attended the Central Teaching Hospital of Pediatrics in Baghdad 2008-2009. African Journal of Pediatric Surgery. 2015;12(2):136.

Gov-Ari E, Hopewell BL. Correlation between pre-operative diagnosis and post-operative pathology reading in pediatric neck masses- A review of 281 cases. Int J Pediatr Otorhinolaryngol. 2015n 31;79(1):2-7.

Osifo OD, Ugiagbe EE. Neck masses in children: Etiopathology in a tertiary center. Nigerian J Clin Practice. 2011;14(2):232-6.

Siddique MA, Hossen M, Taous A, Salam KS, Siddiquee BH, Tarafder KH. Clinical presentation of congenital neck mass in children. Bangladesh J Otorhinolaryngol. 2012;18(1):16-22.

Hsieh YY, Hsueh C, Lin JN, Luo CC, Lai JY, Huang CS. Pathological analysis of congenital cervical cysts in children: 20 years of experience at Chang Gung Memorial Hospital. Chang Gung Med J. 2003;26(2):107-13.

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

Nicollas R, Guelfucci B, Roman S, Triglia JM. Congenital cysts and fistulas of the neck. International J Pediatr Otorhinolaryngol. 2000;55(2):117-24.