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Updated: Jul 15, 2026

Surgical Treatment of an Endolymphatic Sac Tumor
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Surgical Treatment of an Endolymphatic Sac Tumor

Published on: May 26, 2023

Neuroblastoma masquerading as cervical lymphadenitis.

Stephanie Pepper1, Humayun K Islam, Somasundarm Jayabose

  • 1Department of Pediatrics, New York Medical College, Maria Fareri Children's Hospital, Valhalla, NY 10595, USA.

Journal of Pediatric Hematology/Oncology
|April 7, 2007
PubMed
Summary

Pediatric cervical lymphadenitis, often infectious, can mask serious conditions like neuroblastoma. Histopathology revealed metastatic neuroblastoma in a young boy initially presenting with typical infectious lymphadenitis symptoms.

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Area of Science:

  • Pediatric oncology
  • Pathology
  • Infectious disease

Background:

  • Cervical lymphadenitis is a frequent pediatric condition requiring medical assessment.
  • Infectious and reactive causes are most common for cervical lymphadenitis.
  • Lymph node location can suggest the origin of pathology.

Observation:

  • A 21-month-old boy presented with symptoms mimicking infectious lymphadenitis.
  • The child was diagnosed with metastatic neuroblastoma.
  • The presentation was initially misleading, resembling a common infection.

Findings:

  • Metastatic neuroblastoma can present with clinical features indistinguishable from infectious lymphadenitis.
  • Surgical intervention and histopathological examination were crucial for diagnosis.

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  • The case highlights an unusual presentation of a pediatric malignancy.
  • Implications:

    • Clinicians should consider rare diagnoses in pediatric cervical lymphadenitis, even with typical infectious signs.
    • Early recognition of atypical presentations is vital for timely neuroblastoma diagnosis and treatment.
    • This case underscores the importance of thorough histopathological evaluation in pediatric lymphadenopathy.