Abstract
There is always concern for a malignancy or other serious disease when a child presents with a chief complaint of a neck mass. However, a neck mass in child is commonly inflammatory or congenital rather than neoplastic. A complete history and physical exam will often provide enough information to guide management and reassure the concerned parents. In some cases, laboratory tests, radiologic studies or a surgical procedure may be necessary to determine a specific diagnosis and treatment plan. An organized and systematic approach is recommended and detailed in this review.
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Torsilieri AJ, Tom LWC, Ross AJ IIIet al. Pediatric neck masses: guidelines for evaluation.Int J Pediatr Otorhinolaryngol, 1988; 16 :199–120.
Park YW. Evaluation of Neck Masses in Children.Am Family Physician, 1995; 51 (8): 1904–1912.
Clary RA, Lusk RP. Neck masses. In: Bluestone CD, Stool SE, Kenna MA, ed.Pediatric Otolaryngology, Vol. 2, 3rd ed., Phildelphia : W.B. Saunders, 1996; 1488–1496.
Handler SD, Raney RB Jr. Management of neoplasms of the head and neck in children.Head and Neck Surg. 1981; 3: 395.
Modan B, Baidatz D, Mart H,et al. Radiation-induced head and neck tumors.Lancet, 1974; 1:277.
Henle W, Henle G. Evidence for an etiologic relation of the Epstein-Barr virus to human malignancies.Laryngoscope, 1977; 87:467.
Brodeur GM, Seeger R. Gene amplification in human neuroblastomas: basic mechanisms and clinical implications.Cancer Genet Cytogent, 1986; 19 :101.
Bamji M, Stone RK, Kaul A,et al. Palpable lymph nodes in healthy newborns and infants.Pediatrics, 1986; 573–575.
Barness LA.Manual of pediatric physical diagnosis. 6th ed., Chicago: Mosby-Yearbook Medical, 1991; 37–39.
Bamji M, Stone RK, Kaul A,et al. Palpable lymph nodes in healthy newborns and infants.Pediatrics, 1986; 78: 573–575.
May M. Neck masses in children: diagnosis and treatment.Pediatr Ann, 1976; 5 :8.
Jaffe BF, Jaffe N. Head and neck tumors in children.Pediatrics. 1973; 51: 731.
Endicott JN, Nelson RJ, Saraceno CA. Diagnosis and management decisions in infections of the deep fasical spaces of the head and neck utilizing computerized tomography.Laryngoscope, 1982; 92: 630.
Saitz EW. Cervical lymphadenitis caused by atypical mycobacteria.Pediatr Clin North Am, 1981; 28: 823–839.
Wakely PE, Kardos TF, Frable WJ. Application of the fine needle aspiraion biopsy to pediatrics.Hum Path, 1988; 19:1383.
Berstein A, Scardino PT, Tomaszewski MMet al. Carcinoma arising in a branchial cleft cyst.Cancer, 1976; 37: 2417.
Bhagavan BS, Rao DRG, Weinberg T. Carcinoma of thyroglossal duct cyst: case reports and review of the literature.Surgery, 1970; 67: 281.
Schuller DE, Lawrence TL, Newton WA. Childhood rhabdomyosarcomas of the head and neck.Arch Otolaryngol, 1979; 105:689.
Chait D, Yonkers AJ, Beddoe GM,et al. Management of cystic hygromas.Surg Gynecol Obstet, 1974; 139: 55.
Ezekowitz RA, Mulliken JB, Folkman J. Interferon alpha-2a therapy for lifethreatening hemangiomas of infancy.N Engl J Med, 1992; 326:1456.
Margileth AM, Museles M. Current concepts in diagnosis and management of congenital cutaneous hemagniomas.Pediatrics, 1965; 36:410.
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Koempel, J.A., Maddalozzo, J. Evaluation of head and neck masses. Indian J Pediatr 64, 771–776 (1997). https://doi.org/10.1007/BF02725498
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DOI: https://doi.org/10.1007/BF02725498