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Related Experiment Video

Updated: Apr 24, 2026

Cervical Lymph Duct-Cannulated Rat Model for Assessing Lymphatic Transport from the Head and Brain
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Pediatric cervical lymphadenopathy.

Tara L Rosenberg1, Abby R Nolder1

  • 1Department of Otolaryngology/Head and Neck Surgery, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, 1 Children's Way, Slot 836, Little Rock, AR 72202, USA.

Otolaryngologic Clinics of North America
|September 13, 2014
PubMed
Summary

Evaluating pediatric cervical lymphadenopathy requires a thorough history and physical exam. While infections are common, consider neoplasms and use ultrasound judiciously for diagnosis and management.

Keywords:
Cervical lymphadenopathyDifferential diagnosisInfectiousNeck massPediatric

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Area of Science:

  • Pediatric Medicine
  • Otolaryngology
  • Diagnostic Imaging

Background:

  • Cervical lymphadenopathy is common in children.
  • Infectious causes are more prevalent than in adults.
  • Neoplastic causes must also be considered.

Purpose of the Study:

  • To provide an overview of the evaluation and management of pediatric cervical lymphadenopathy.
  • To review common and uncommon infectious causes.
  • To discuss indications for surgical intervention.

Main Methods:

  • Review of pertinent literature.
  • Emphasis on thorough history and physical examination.
  • Discussion of the role of imaging, particularly ultrasound.

Main Results:

  • Infectious etiologies are most common in pediatric cervical lymphadenopathy.
  • Neoplasms are less common but important to consider.
  • Ultrasound aids in differentiating causes and guiding management.

Conclusions:

  • A systematic approach including history, physical exam, and judicious imaging is essential.
  • Infections are the primary cause, but malignancy must be ruled out.
  • Surgery is occasionally needed for diagnosis or treatment of infections, rarely for malignancy.