Issue N# 4 - 2016
CERVICAL
Neck masses in children: Clinical and epidemiological aspects and pathological profile. Through a series of 320 cases
Authors : Fassih M, Rouadi S, Abada A, Roubal M, Mahtar M, Janah A, Essaadi M, El Kadiri F. (Rabat)
Ref. : Rev Laryngol Otol Rhinol. 2016;137,4:95-99.
Article published in french 
Downloadable PDF document french
Summary :
Introduction: The neck masses in children represent a very common reason for consultation in the practice of a pediatrician or an ENT. It is a real challenge in terms of diagnosis and therapy. The history and the assessment of clinical characteristics of the mass are essential to achieve a correct diagnosis and appropriate management. The causes are varied and include congenital malformations, inflammatory diseases, non-inflammatory benign lesions, benign and malignant tumors. Objectives: The aim of this work is to describe the distribution of neck masses according to the etiology, age, sex, location, and to study the different clinical characteristics of these masses, and finally to assess the role of imaging in diagnosis. Patients and methods: Retrospective study of 320 children under 15 years who underwent surgery for cervical mass from January 2007 until December 2010 in the Otolaryngology Head and Neck department in the Hospital August 20, CHU IbnRochd of Casablanca. Results: Among 320 children, a male predominance was observed for all etiologies (72%, sex ratio= 2.8). Twenty two histological varieties have been found and listed in 5 categories: Inflammatory lesions (64%) were the more frequent, followed by congenital lesions (41%). Among the inflammatory etiologies, the tuberculous lymphadenopathy were predominant (79%) the average age was 8.5 years. Thyroglossal duct cysts dominated the congenital etiology (77%). Children 3 to 6 years were the most affected. Lymphoma was the most common cause (54%) of malignant tumours, children from 4 to 8 years are most affected. The majority of neck masses were lateral (63%), and etiology varies by location of the mass. Ultrasound investigation was the most performed. Conclusion: Although the majority of neck masses are benign with a small proportion of malignant tumors (3%), a conservative and early approach is always recommended.
Price : 14.00 €
|
