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Head and neck masses in children: A clinicopathological study
K P Ragesh1, R S Chana, P K Varshney
1Department of E.N.T., J.N. Medical College, A.M.U., 202002 Aligarh, U.P..
Summary
Inflammatory conditions and congenital malformations are common pediatric head and neck masses. Tuberculous lymphadenitis and cystic hygroma were the most frequent causes, with lymphoma being the most common malignancy.
Area of Science:
- Pediatric Pathology
- Head and Neck Surgery
- Oncology
Background:
- Head and neck masses are common in children, requiring accurate diagnosis.
- Understanding the etiology and prevalence of these masses is crucial for effective management.
Purpose of the Study:
- To analyze the clinical and pathological findings of pediatric head and neck masses.
- To determine the relative frequencies of inflammatory, congenital, and neoplastic lesions.
- To identify the most common specific diagnoses within each category.
Main Methods:
- Clinical evaluation of 50 children with head and neck masses.
- Pathological examination to confirm diagnoses.
- Categorization of masses into inflammatory, congenital-developmental, and neoplastic types.
Main Results:
- Inflammatory swellings were the most common (54%), with tuberculous lymphadenitis being the leading cause (28%).
- Congenital-developmental malformations accounted for 30%, with cystic hygroma being most frequent.
- Neoplastic masses comprised 16%, with malignant lesions more common than benign, and lymphoma as the most frequent head and neck malignancy.
Conclusions:
- Inflammatory and congenital lesions dominate pediatric head and neck masses.
- Tuberculous lymphadenitis and cystic hygroma are key differential diagnoses.
- Lymphoma is the predominant malignancy in this age group, necessitating early detection.
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