Clinicopathological profile of cervicofacial masses in pediatric patients

Abstract

Four hundred pediatric patients (0-12 years of age) who presented with cervicofacial masses were evaluated clinically and pathologically. Infl ammatory lesions were the commonest (48%) followed by congenital and developmental malformations (26%). In infl ammatory lesions, reactive lymphadenopathy was the commonest (16%) followed by tubercular lymphadenitis (11.5%). In congenital and developmental malformations hemangiomas were the commonest (12%) followed by TG cyst (6.5%). Cystic lesions (non-developmental) constituted 19%, benign neoplastic lesions 7% and malignant neoplastic lesions 2% of the cases. Males predominated the series (53.5%) and commonest age group involved was 10-12 years (20.5%). FNAB was performed in 93% of cases and HPE was available in 51.5% of cases. Sensitivity of FNAB in our series was 87.4%.

Clinicopathological study of pediatric neck masses

“…[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 …”

“…Our findings were similar to the studies by Showkat et al, Lucumay et al, Ingale et al, Al Mayoof et al, Gov-Ari et al [8][9][10][11][12] Suppurative lymphadenopathy was seen in 22 cases (14.7%). They had complaints of rapidly growing neck mass with pain and fever.…”

“…Tuberculin test was positive in 17 cases. Our study findings were similar to Showkat et al 8 Lucumay et al and Osifo et al reported a lower incidence which could be due to different demographic distribution of study population in these studies. 9,13 We had 23 cases (15.3%) of thyroglossal cyst in our study.…”

“…Our findings were similar to Showkat et al and Mayoof. 8,11 20 cases (13.3%) were of mycobacterial lymphadenopathy. Females were affected more than males.…”

Evaluation of efficacy of Ultrasound in diagnosis of Neck Swellings

“…This correlates well with previous such studies. 6,7 When compared to the final diagnosis, all 3 congenital lesions were correctly diagnosed by US. 2 were thyroglossal cysts and 1 was a well-defined congenital cystic lesion on US thought to be a cystic hygroma clinically but was eventually found to be a KillianJamieson lesion.…”