Pediatric neck masses: how clinical and radiological features can drive diagnosis.
Pediatric neck masses are a common occurrence and often represent a diagnostic challenge. The primary aim of this retrospective study was to evaluate the clinical and radiological features of neck masses in children and how they can drive diagnosis. The secondary aim was to create a diagnostic algor...
| Publicado en: | European Journal of Pediatrics Vol. 178; no. 4; pp. 463 - 472 |
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| Autores principales: | , , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Apr2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135606128&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 135606128 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03406199 CR1 jtl: European Journal of Pediatrics issn: 03406199 maglogo: N pubinfo: dt: Apr2019 vid: 178 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 135606128 135606128 NLM30643937 10.1007/s00431-018-3305-9 NLM30643937 135606128 ppf: 463 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Pediatric neck masses: how clinical and radiological features can drive diagnosis. aug: au: Riva, Giuseppe Sensini, Matteo Peradotto, Federica Scolfaro, Carlo Di Rosa, Gianpaolo Tavormina, Paolo affil: Pediatric Otorhinolaryngology, Department of Pediatrics, Ospedale Infantile Regina Margherita, Piazza Polonia 94, 10126, Turin, Italy sug: subj: Cat-Scratch Disease Diagnosis Head and Neck Neoplasms Diagnosis Neck Pathology Cysts Diagnosis Mycobacterium Infections Diagnosis Cat-Scratch Disease Epidemiology Mycobacterium Infections Pathology Magnetic Resonance Imaging Neck Child Cysts Pathology Analysis of Variance Head and Neck Neoplasms Epidemiology Adolescence Child, Preschool Female Retrospective Design Infant Lymph Nodes Pathology Mycobacterium Infections Epidemiology Demography Cysts Epidemiology Infant, Newborn Cat-Scratch Disease Pathology Head and Neck Neoplasms Pathology Male Scales Child: 6-12 years Adolescent: 13-18 years Child, Preschool: 2-5 years Infant: 1-23 months Infant, Newborn: birth-1 month Female Male ab: Pediatric neck masses are a common occurrence and often represent a diagnostic challenge. The primary aim of this retrospective study was to evaluate the clinical and radiological features of neck masses in children and how they can drive diagnosis. The secondary aim was to create a diagnostic algorithm based on clinical features. We evaluated 190 children with neck masses who needed hospitalization. Clinical data and imaging findings were collected. The patients were divided into six groups: congenital/developmental lesions, tumors, acute and subacute lymphadenopathies, chronic nonspecific lymphadenopathies, cat-scratch disease, and mycobacteriosis. Reactive lymphadenopathies were observed in the majority of cases (65.8%). Congenital/developmental cysts were present in 28.9%, while 5.3% had a tumor. A lower mean age was observed for acute/subacute lymphadenopathies and mycobacteriosis. Fever and a painful mass were typical of acute/subacute lymphadenopaties and cat-scratch disease. A hard and fixed mass was not only typical of tumors. Concerning imaging findings, multiple lymph nodes at the same level was mainly observed in mycobacteriosis, while bilateral lymph node enlargement and colliquation were present in lymphadenopathies.Conclusion:A complete and adequate clinical assessment should be the basis for every diagnostic and therapeutic choice in children with neck masses. What is Known: • Pediatric neck masses are a common occurrence and often represent a diagnostic challenge. • Clinical features, serological exams and imaging findings should drive the physician to an appropriate diagnostic hypothesis. What is New: • A lower mean age was observed for acute/subacute lymphadenopathies and mycobacteriosis. • A hard and fixed mass was not only typical of tumors. • Multiple lymph nodes at the same level were mainly observed in mycobacteriosis, while bilateral lymph node enlargement and colliquation were present in nonspecific lymphadenopathies. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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