Sonography of neck masses in children

Kraus, Richard A.; Han, BK; Babcock, Diane S.; Oestreich, A E

doi:10.2214/ajr.146.3.609

Cited by 67 publications

(38 citation statements)

References 9 publications

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“…The typical sonognaphic appearance of a TDC has been described as an anechoic, well-circumscribed cyst with increased through transmission [2][3][4]. …”

Section: Discussionmentioning

confidence: 99%

“…Several previous studies have shown sonognaphy to be useful in evaluating abnormalities of the neck in children [2][3][4]. On the basis of these data, the sonognaphic appearance ofthe typicalTDC has been described as a cystic midline mass, usually atthe level ofthe hyoid bone.…”

Section: Ajr 1994;163:1475-1477mentioning

confidence: 99%

“…3). Four heterogeneous lesions were largely cystic but with multiple dense internal echoes and debris, with thick walls measuring approximately [3][4][5] mm (Fig. 4).…”

Section: Figurementioning

confidence: 99%

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Thyroglossal duct cysts: variability of sonographic findings.

Wadsworth¹,

Siegel²

1994

American Journal of Roentgenology

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OBJECTIVE. The purpose of this study was to describe the sonographic features of thyroglossal duct cysts, emphasizing the variable sonographic appearances, and determine if the presence of infection or inflammation influences the sonographic appearance. MATERIALS AND METHODS. We reviewed the sonograms in 12 children (2 months-16 years old) with pathologically proven thyroglossal duct cysts (TDCs). The cysts were evaluated for location, size, cystic versus solid features, echogenicfty, and wall thickness. The sonographic features then were compared with the pathologic findings.RESULTS. Sonograms of the 12 lesions showed that nine were midline at or near hyold bone; two were to the right of midline in the submandibular region; and one was located to the left of midline in the neck. Cysts were from 0.5 cm to 4 cm in diameter. Five lesions were anechoic with no perceptible wall thickness. Seven lesions were hypoechoic.Two of the seven were homogeneously hypoechoic with thin borders. The remaining five lesions were hypoechoic but heterogeneous (complex). One lesion was hypoechoic with small anechoic spaces. Four lesions were largely cystic with dense internal echoes and thick walls. The presence of thick walls and internal echoes did not correlate with the presence or absence of inflammation on pathologic examination.No lesions in our series were hyperechoic. CONCLUSION.Our results indicate that TDCs have a variable sonographic appearance.Anechoic, homogeneously hypoechoic, and heterogeneous (complex) lesions occur. We found no correlation between the pathologic findings of infection and inflammation and the sonographic appearance of TDCs. Awareness of the variable sonographic appearance of the TDC is helpful when a midline lesion is encountered in the neck.

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“…The typical sonognaphic appearance of a TDC has been described as an anechoic, well-circumscribed cyst with increased through transmission [2][3][4]. …”

Section: Discussionmentioning

confidence: 99%

Section: Ajr 1994;163:1475-1477mentioning

confidence: 99%

See 1 more Smart Citation

Thyroglossal duct cysts: variability of sonographic findings.

Wadsworth¹,

Siegel²

1994

American Journal of Roentgenology

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“…In the past, the TDC commonly had been known to be a midline anechoic cyst at the level of the hyoid bone. [3][4][5][6] However, many variations of its sonographic features have been reported. 7,8 As a result, it is important to confirm the existence of a TDC in the differential diagnosis by means of preoperative sonographic examinations, but a correct diagnosis is often difficult to make.…”

mentioning

confidence: 99%

Sonographic Assessment of Thyroglossal Duct Cysts in Children

Kutuya¹,

Kurosaki²

2008

Journal of Ultrasound in Medicine

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Abbreviations BCC, branchial cleft cyst; TDC, thyroglossal duct cyst he thyroglossal duct cyst (TDC) is one of the most common congenital neck masses occurring in children, representing approximately 70% of the congenital lesions that occur in the neck. 1,2Sonography is thought to be an ideal initial technique for the differential diagnosis of a neck mass. In the past, the TDC commonly had been known to be a midline anechoic cyst at the level of the hyoid bone.3-6 However, many variations of its sonographic features have been reported. 7,8 As a result, it is important to confirm the existence of a TDC in the differential diagnosis by means of preoperative sonographic examinations, but a correct diagnosis is often difficult to make. As far as we could determine, up to now there have only been 2 statistical investigations (by Wadsworth and Siegel 7 and Ahuja et al 8 ) regarding the sonographic appearance of TDCs in children. We thus thought that an additional investigation should be performed. Therefore, in this study we assessed the sonographic appearance in 36 children with Image PresentationObjective. The purpose of this study was to clarify the sonographic features of thyroglossal duct cysts (TDCs) in children. We also investigated how the presence of inflammation influences the sonographic appearance. Methods. We reviewed the sonograms from 36 children (0.5-14 years old) with pathologically proven TDCs. The lesions were evaluated for location, shape, internal echo pattern, internal septa, wall thickness, posterior enhancement, solid components, margins, and fistulas. The sonographic features of 7 lesions that pathologically showed inflammation were also investigated. Results. Most TDCs were midline (77.8%), were located at the hyoid bone (44.4%) or were infrahyoid (38.9%), showed posterior enhancement (77.8%), were unilocular (86.1%), lacked internal septa (91.7%), and had a thin wall (75%). None had a solid component. The internal echo patterns were classified into 4 types: anechoic (25%), homogeneously hypoechoic (16.7%), pseudosolid (16.7%), and heterogeneous (41.6%). Inflammation was confirmed in 78% of the lesions with wall thickening and 100% of the lesions with internal septa. Conclusions. Most TDCs in children had echogenicity ranging from hypoechoic to heterogeneous. A thick wall and internal septa were considered to correlate with the presence of inflammation but not with the internal echo patterns of TDCs.

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“…The typical sonographic description of a TDC has been that of an anechoic, well-circumscribed cyst with increased through-transmission 54 . However, earlier studies in children have shown that most are not simple cysts but instead are either homogeneous or heterogeneous complex hypoechoic lesions 55 .…”

Section: Sonographmentioning

confidence: 99%

Presentation of Thyroglossal Cyst in Children

Rumi

Ahmad²,

Rahman

et al. 2016

J. paediatr. surg. Bangladesh

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Background: Thyroglossal duct cyst a developmental anomaly present as a congenital cervical masses of neck in children.Objectives: To observe its deferent presentation and evaluate among the children. Results: Among 24 children with thyroglossal cyst, 15 boys and 9 girls with male female ratio 1.67:1, age ranged from 4 years to 18 years (mean 9.46 std ±4.27). Male (mean7.53±4.01years) child are younger than female (mean12.67±2.39 years) child. 66.67% male children were below 10 years of age and 88.89% female children were over 10 years of age. According to the presentation site 17(70.83%) cases were juxtra hyoid, 4(16.67%) were suprahyoid and 3 (12.50%) were infrahyoid. 23 (95.83%) were present as midline swelling, only 1(4.17%) was present as left lateral infrahyoid swelling. 4(16.67%) patient were attended as thyroglossal fistulae with

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Sonography of neck masses in children

Cited by 67 publications

References 9 publications

Thyroglossal duct cysts: variability of sonographic findings.

Thyroglossal duct cysts: variability of sonographic findings.

Sonographic Assessment of Thyroglossal Duct Cysts in Children

Presentation of Thyroglossal Cyst in Children

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