Clinical presentation of congenital neck mass in children

Siddique, Mazharul Alam; Hossen, Mahbuba; Taous, Ahmmad; Salam, Kazi Shamimus; Siddiquee, Belayat Hossain; Tarafder, Kamrul Hassan

doi:10.3329/bjo.v18i1.10409

Cited by 6 publications

(8 citation statements)

References 11 publications

(5 reference statements)

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“…In different articles it is suggested as 7.8 years, 37.6 years, and 15.4 years indicating the variable age at which they present to the clinician due to their asymptomatic nature. [6][7][8] The male to female ratio was 1:1.3 which is comparable to the study of Mazharul et al 9 Most of the studies showed thyroglossal cyst is the commonest congenital neck swelling. 3,6,10 The origin of the cysts was similar to study done by Mazharul et al, and Shih-Tsang et al, in which thyrohyoid was noted in 71.43% and 74% and suprahyoid in 14.29% and 22% respectively.…”

Section: Discussionsupporting

confidence: 77%

“…3,6,10 The origin of the cysts was similar to study done by Mazharul et al, and Shih-Tsang et al, in which thyrohyoid was noted in 71.43% and 74% and suprahyoid in 14.29% and 22% respectively. 9,11 Association with malignancy preclude these lesions from being overlooked. 12 Bilobed thyroglossal cyst is a rare clinical entity with no recent reported cases in literature.…”

Section: Discussionmentioning

confidence: 99%

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Enigma in the diagnosis of congenital neck masses: a prospective study

Havaldar¹,

Singh²,

Hajare³

et al. 2019

Int J Otorhinolaryngol Head Neck Surg

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Background: Head and neck swellings are common in routine otorhinolaryngologic practice. This study was done to assess the incidence and varied presentation of different congenital neck swellings.Methods: Hospital based prospective study done in the Department of Otorhinolaryngology at a tertiary care hospital from January 2017 to December 2018. A total of 28 patients with slow, progressive neck swellings were selected after excluding thyroid swellings and acute inflammatory neck swellings. All patients had no other complaints. After a thorough clinical examination and investigations like ultrasonography, fine needle aspiration cytology and radiological examination, surgery was done, and specimens obtained were sent for histopathological examination. Patients were followed up to 1 year. Results: 28 patients with congenital neck mass were studied. 15 were thyroglossal cysts, 7 were branchial anomalies, 5 were dermoid cysts and 1 was bronchogenic cyst. The most frequent congenital neck mass was thyroglossal duct cyst and fistula (53.57%) followed by, in descending order, cysts and fistulas of the branchial apparatus (25%), dermoid cysts (17.85%) and bronchogenic cyst (3.5%) respectively.Conclusions: The overall presentation in terms of age group, location, incidence and clinical features of congenital neck swellings is an enigma to the treating surgeon as well as the pathologist. The prevalence varies largely among centres. A knowledge of the varied differential diagnosis of slow progressive masses in the neck should be kept in mind while planning the surgical procedure for total removal of the lesion to avoid recurrence.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Enigma in the diagnosis of congenital neck masses: a prospective study

Havaldar¹,

Singh²,

Hajare³

et al. 2019

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

“…16 But our study differs from some other studies where they found ASD was the commonest lesion. [17][18][19] This difference in observation might be due to that Rahman et al and Siddique et al included many adult patients in their study. A significant proportion of VSD close spontaneously before adulthood and some untreated patients with large VSD die in childhood from heart failure.…”

Section: Discussionmentioning

confidence: 53%

Comorbidities with Congenital Heart Disease among Hospitalized Children in a Specialized Cardiac Hospital in Bangladesh

Mita¹,

Salim

Haque

et al. 2017

Cardiovasc. j.

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Background: Congenital heart diseases (CHD) when associated with any comorbid condition may complicate the outcome of management. So to find out and treat comorbidities before definite treatment is essential for better outcome. Methods: This observational cross sectional study was conducted in the inpatient Department of Paediatric Cardiology at National Institute of Cardiovascular Diseases, Dhaka, during the period of January 2014 to January 2015 to identify the comorbid conditions of congenital heart disease.Results: A total of 794 children with different types of congenital heart disease were enrolled during the study period. Among them, 48.6% were simple CHD and 51.4% were complex CHD. Among simple CHD, ventricular septal defect (VSD) was commonest (27.2%), Tetralogy of Fallot (TOF) occupied the second position (20.5%). One child presented with Ectopia cardis. Among complex CHD most common anomalies were VSD with either atrial septal defect (ASD) or patent ductus arteriosus (PDA) or valvular lesion. Next common anomalies were TOF with PDA or ASD &/or pulmonary valvular abnormalities. Double outlet of right ventricle (DORV) with shunt and transposition of great arteries (TGA) with shunt also occur frequently. AV canal defect with or without valvular lesion presented in significant number. Among them 616 (77.6%) had different types of comorbid conditions. Among comorbidities, respiratory and acquired cardiac comorbidities were common (37.9% & 34.1% respectively). Other congenital or genetic comorbidities were in 11.2%. Multisystem involvement was in 9.8% cases.Conclusion: Pneumonia and heart failure were the most frequent comorbid condition among both simple and complex congenital heart disease. They were common among acyanotic heart disease. But cyanotic spell, acute stroke syndrome and brain abscess were common among cyanotic heart disease. Among genetic comorbidities Downs syndrome occupied the major part.Cardiovasc. j. 2017; 9(2): 83-89

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“…Siddique et al, Hsieh et al, Al-Zoubi et al, Nicollas et al also reported thyroglossal cyst to be the commonest congenital neck mass. [14][15][16][17] We had 15 cases (10%) of branchial cyst presenting with complaints of slowly growing painless mass in anterior triangle of neck more on left side. Our findings were similar to those by Al-Mayoof and Gov-Ari et al 11,12 Incidence of cystic hygroma and lipoma in our study was 2% which was similar to Showket et al 8 …”

Section: Discussionmentioning

confidence: 99%

Clinicopathological study of pediatric neck masses

Gangwar

Vyas

Gakkar

2018

Int J Otorhinolaryngol Head Neck Surg

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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.

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Clinical presentation of congenital neck mass in children

Abstract: Background: Congenital neck mass is a very common problem in children in

Cited by 6 publications

References 11 publications

Enigma in the diagnosis of congenital neck masses: a prospective study

Enigma in the diagnosis of congenital neck masses: a prospective study

Comorbidities with Congenital Heart Disease among Hospitalized Children in a Specialized Cardiac Hospital in Bangladesh

Clinicopathological study of pediatric neck masses

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