Development of an algorithm for the management of cervical lymphadenopathy in children: consensus of the Italian Society of Preventive and Social Pediatrics, jointly with the Italian Society of Pediatric Infectious Diseases and the Italian Society of Pediatric Otorhinolaryngology

Chiappini, Elena; Camaioni, Angelo; Benazzo, Marco; Biondi, Andrea; Bottero, Sergio; Masi, Salvatore; Mauro, Giuseppe Di; Doria, Mattia; Esposito, Susanna; Felisati, Giovanni; Felisati, D; Festini, Filippo; Gaini, Renato Maria; Galli, Luisa; Gambini, Claudio; Gianelli, Umberto; Landi, Massimo; Lucioni, Marco; Mansi, Nicola; Mazzantini, Rachele; Marchisio, Paola; Marseglia, Gian Luigi; Miniello, Vito Leonardo; Nicola, Marta Di; Novelli, Andréa; Paulli, Marco; Picca, Marina; Pillon, Marta; Pisani, P; Pipolo, Carlotta; Principi, Nicola; Sardi, Iacopo; Succo, Giovanni; Tomà, Paolo; Tortoli, Enrico; Tucci, F.; Varricchio, Attilio; Martino, Maurizio de

doi:10.1586/14787210.2015.1096777

Cited by 43 publications

(60 citation statements)

References 44 publications

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“…Careful clinical examination often leads to diagnosis and is often a diagnostic problem that is taken for histological or cytological examination [5,6]. Cervical adenopathies were observed in both boys and girls; but the slight male predominance reported in this series is also reported by other authors [1,4]. The mean age of the children in our series is related to the mean ages reported in the literature [3,7].…”

Section: Discussionsupporting

confidence: 75%

“…This approach requires a careful and clinical examination, which sometimes makes it possible to evoke the origin of these adenopathies before the histological analysis [3]. Knowledge of the etiological model is crucial for therapy [4]. In Africa in general and in Togo in particular, few studies have been carried out on cervical adenopathies in children.…”

Section: Introductionmentioning

confidence: 99%

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Cervical Adenopathy of the Children in Tropical Context: Clinico-Pathological Study

Darré

Doukouré

Djiwa

et al. 2019

Preprint

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Objective The aim of the study was to describe the epidemiological and etiological characteristics of cervical lymphadenopathy in children, for 15 years (2003-2017) at the pathology laboratory of Lomé, Togo. Results A total of 221 cervical adenopathies in children were collected. The sex ratio (M/F) of patients was 1.1 and the average age was 9.8 ± 0.3 years. The notion of HIV was found in 69 children. Histological, the etiologies were infectious (n = 128 cases, 57.9%), tumors (n = 96 cases) and others (n = 8 cases, 1.6%). The main etiology among infections was tuberculosis (n = 84 cases). Tumor etiologies were primitive in 82 cases and secondary in 3 cases. Primary tumors were dominated by lymphomas (n = 74 cases) in its Burkitt form (n = 44 cases). The etiologies of cervical lymphadenopathy in tropical environments are always dominated by infectious agents.

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Section: Discussionsupporting

confidence: 75%

Section: Introductionmentioning

confidence: 99%

Cervical Adenopathy of the Children in Tropical Context: Clinico-Pathological Study

Darré

Doukouré

Djiwa

et al. 2019

Preprint

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“…[11,12] Specialist management of children with cervical lymphadenopathy is still a matter of debate and evidence-based guidelines is few. [23] This should be a priority for future research.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Pediatric malignancies presenting in the head and neck

Lilja-Fischer

Nielsen

2019

International Journal of Pediatric Otorhinolaryngology

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“…Lymphoma, although rare, is one of the most common malignancies presenting in children with high cure rates when identified early [3]. When concerning features are present, such as B symptoms or supraclavicular lymphadenopathy, the decision to pursue further investigation is relatively straightforward, and several algorithms have been proposed to guide management [4,5].…”

Section: Introductionmentioning

confidence: 99%

Management of Persistent Pediatric Cervical Lymphadenopathy

Wai¹,

Wang²,

Lee³

et al. 2020

AOHNS

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Clinical data extracted from charts included pertinent antecedent symptoms, medical history, and physical exam features including lymph node location, consistency, and overlying skin changes. Lymph node location were classified as follows: anterior cervical (defined as lymphadenopathy overlying the sternocleidomastoid or anterior to the muscle), posterior cervical (any lymph node posterior to the sternocleidomastoid), submandibular, submental, postauricular and supraclavicular. All lymphadenopathy dimensions, noted on either physical exam or ultrasound report, were reported using the largest dimension. If multiple lymph nodes were present, the largest lymph node was used. Ultrasound imaging reports were also reviewed for any commentary on nodal architecture or abnormal features.

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Development of an algorithm for the management of cervical lymphadenopathy in children: consensus of the Italian Society of Preventive and Social Pediatrics, jointly with the Italian Society of Pediatric Infectious Diseases and the Italian Society of Pediatric Otorhinolaryngology

Abstract: The present algorithm is a practice tool for the management of pediatric cervical lymphadenopathy in the hospital and the ambulatory settings. A multidisciplinary approach is paramount. Further studies are required for its validation in the clinical field.

Cited by 43 publications

References 44 publications

Cervical Adenopathy of the Children in Tropical Context: Clinico-Pathological Study

Cervical Adenopathy of the Children in Tropical Context: Clinico-Pathological Study

Pediatric malignancies presenting in the head and neck

Management of Persistent Pediatric Cervical Lymphadenopathy

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