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Spectrum of head and neck cancer in children
Subhabrata Sengupta1, Ranabir Pal, Somnath Saha
1Department of Oto-Rhino-Laryngology, Sikkim-Manipal Institute of Medical Sciences (SMIMS) and Central Referral Hospital (CRH), 5th Mile Tadong, Gangtok, Sikkim-737 102, India.
Insights
Pediatric head and neck cancers are rare, with lymphomas being the most common malignancy in children under 12. This study highlights the importance of considering malignancy in pediatric head and neck masses.
Area of Science:
- Pediatric Oncology
- Otolaryngology
- Head and Neck Surgery
Background:
- Head and neck cancers are uncommon in children.
- Early diagnosis and treatment are crucial for better outcomes.
Purpose of the Study:
- To determine the incidence of various head and neck cancers in pediatric patients.
- To identify the most prevalent types of head and neck neoplasms in this age group.
Main Methods:
- Prospective study involving children under 12 years.
- Comprehensive clinical and ENT examinations.
- Histological confirmation of all diagnoses.
Main Results:
- 53 cases of head and neck neoplasms identified in 21,216 children (0.25% incidence).
- Lymphomas were the most frequent (43.39%), followed by rhabdomyosarcoma (20.75%) and nasopharyngeal carcinoma (15.09%).
- Non-Hodgkin's lymphoma constituted the majority of lymphoma cases (26.41%).
Conclusions:
- Malignancy should be a key consideration in the differential diagnosis of pediatric head and neck masses.
- Prompt evaluation is essential for timely intervention in suspected pediatric head and neck cancers.
Aim:
To assess the incidence of different head and neck cancers in pediatric age group in a referral hospital.
Methods:
In this prospective study, children below the age of 12 years underwent a thorough clinical, ENT examination and the diagnosis was conformed histologically in all the cases.
Results:
Fifty-three were diagnosed to be suffering from different head and neck neoplasms among 21,216 children (0.25%). Male-to-female sex distribution was 1.78:1. The lymphomas were the most common (43.39%) followed by the rhabdomyosarcoma (20.75%) and the nasopharyngeal carcinoma (15.09%). Of the lymphomas, the non-Hodgkin's lymphoma was predominant (26.41%). Other lesions were thyroid carcinomas and mucoepidermoid carcinoma of parotid.
Conclusions:
Malignancy should always be considered in the differential diagnosis of masses in the head and neck region in children.
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