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Radiological and Clinical Approach to Pediatric Non-Inflammatory Head and Neck Masses

Year 2024, Volume: 10 Issue: 1, 150 - 155, 01.01.2024
https://doi.org/10.53394/akd.1304370

Abstract

Objective: Head and neck masses are frequently encountered in childhood. Radiological characterization of these lesions plays a crucial role in determining the appropriate treatment approach. At this stage, considering radiation exposure, radiological treatment and, if necessary, surgery should be directed. This study, it was aimed to discuss the diagnostic approach in childhood benign head and neck masses.
Methods: A retrospective analysis was conducted on 64 pediatric patients who presented with head and neck masses and underwent radiological imaging between 2018 and 2022. Demographic data, radiological diagnostic methods, lesion localization, characterization, treatment approaches, and pathological findings of patients with congenital and acquired masses were obtained from the hospital system.
Results: The distribution of age and gender among the 64 patients was similar across groups. Head and neck masses were predominantly located in the anterolateral cervical triangle. Thyroglossal duct cysts were the most common cystic masses, displaying mixed sonographic characteristics. Venolymphatic malformations (VLM) were the second most frequently observed masses, predominantly exhibiting cystic features. Hemangiomas were the most common solid masses encountered. In addition, while the cystic lesions were most frequently congenital, the solid ones were acquired.
Regarding treatment planning, 32 patients (50%) underwent surgical intervention. Among the patients, 15.6% of the patients underwent sclerotherapy at least once. Medical treatment involved non-selective beta-blocker administration in 10 (15.6%) patients.
Conclusion: The etiology of childhood head and neck masses encompasses a wide spectrum. Therefore, accurate diagnosis plays a crucial role in guiding clinicians toward appropriate medical and/or surgical treatment options.

Supporting Institution

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References

  • 1. Bansal AG, Oudsema R, Masseaux JA, Rosenberg HK. US of Pediatric Superficial Masses of the Head and Neck. Radiographics. 2018 Jul-Aug;38(4):1239-1263. doi:10.1148/rg.2018170165.
  • 2- Ho ML. Pediatric Neck Masses: Imaging Guidelines and Recommendations. Radiol Clin North Am. 2022;60(1):1-14.
  • 3- Kadom N, Lee EY. Neck masses in children: current imaging guidelines and imaging findings. Semin Roentgenol. 2012;47(1):7-20. doi: 10.1053/j.ro.2011.07.002.
  • 4. Meuwly JY, Lepori D, Theumann N, Schnyder P, Etechami G, Hohlfeld J, Gudinchet F. Multimodality imaging evaluation of the pediatric neck: techniques and spectrum of findings. Radiographics. 2005;25(4):931-48. doi: 10.1148/rg.254045142.
  • 5- Shekdar KV, Mirsky DM, Kazahaya K, Bilaniuk LT. Magnetic resonance imaging of the pediatric neck: an overview. Magn Reson Imaging Clin N Am. 2012;20(3):573-603. doi: 10.1016/j.mric.2012.05.008.
  • 6- Riva G, Sensini M, Peradotto F, Scolfaro C, Di Rosa G, Tavormina P. Pediatric neck masses: how clinical and radiological features can drive diagnosis. Eur J Pediatr. 2019;178(4):463-471.
  • 7- Shuaibu IY, Sholadoye TT, Ajiya A, Usman MA, Aliyu HO. Pediatric neck masses in Zaria: A review of clinical profile and treatment outcome. Afr J Paediatr Surg. 2021; 18(4):205-209.
  • 8-Hsieh, Y.Y., Hsueh, S., Hsueh, C., et al., 2003. Pathological analysis of congenital cervical cysts in children: 20 years experience at Chang Gung Memorial Hospital. Chang Gung Med. 26, 107–113.
  • 9- Friedman ER, John SD. Imaging of pediatric neck masses. Radiol Clin North Am. 2011;49(4):617-32, v. doi: 10.1016/j.rcl.2011.05.005.
  • 10- Meier JD, Grimmer JF. Evaluation and management of neck masses in children. Am Fam Physician. 2014;89(5):353-8.

Çocukluk Çağı Benign Baş Boyun Kitlelerinde Tanı ve Tedavi Yaklaşımı

Year 2024, Volume: 10 Issue: 1, 150 - 155, 01.01.2024
https://doi.org/10.53394/akd.1304370

Abstract

Amaç: Baş boyun bölgesindeki kitlelere çocukluk çağında sıkça rastlanmaktadır. Lezyonların radyolojik karakterizasyonu tedavi yaklaşımı için oldukça önemlidir. Bu aşamada radyasyon maruziyeti de gözönünde bulundurularak radyolojik olarak tedaviye, gereklilik halinde cerrahiye yön verilmelidir. Bu çalışmada çocukluk çağı benign baş boyun kitlelerinde tanı yaklaşımını ele almak amaçlanmıştır.
Yöntemler: Bu çalışma, 2018-2022 yılları arasında baş-boyun kitlesi ile başvuran ve radyolojik görüntülemesi yapılan 64 çocuk hasta ile retrospektif olarak yapılmıştır. Konjenital ve edinsel kitlesi olan hastaların demografik verileri, radyolojik tanı yöntemleri, lezyonların lokalizasyonları ile birlikte karekterizasyonları, tedavi yöntemleri ve patoloji sonuçları hastane sisteminden elde edildi.
Bulgular: Altmış dört hastanın yaş ve cinsiyet dağılımı gruplar arasında benzerdi. Baş-boyun kitleleri en çok anterolateral servikal üçgende yer almaktaydı. Tiroglossal kanal kistleri en sık rastlanılan kistik kitleler olup sonografik özellikleri mikst karekterdeydi. İkinci sıklıkla izlenen venolenfatik malformasyonlar (VLM) ise daha çok kistik karekterde görüldü. Hemanjiyonlar ise en sık rastlanılan solid kitlelerdi.Ayrıca lezyonların kistik olanlar en sık konjenital iken solid olanlar edinsel nedenliydi.
Görüntüleme yapılan hastaların tedavi planlamasında ise 32'si (%50) cerrahi olarak tedavi edildi. Hastaların %15,6’ı en az bir kez skleroterapi uygulandı. Medikal tedavi 10 (%15.6) hastada selektif olmayan beta bloker ilaç uygulaması şeklindeydi.
Sonuç: Çocukluk çağı baş boyun kitlelerinin etiyolojisi oldukça geniş spektrumludur. Bu nedenle tanının doğru konulabilmesi ve uygun medikal ve/veya cerrahi tedavi seçiminde klinisyene rehberlik etmesi açısından son derece önemlidir.

References

  • 1. Bansal AG, Oudsema R, Masseaux JA, Rosenberg HK. US of Pediatric Superficial Masses of the Head and Neck. Radiographics. 2018 Jul-Aug;38(4):1239-1263. doi:10.1148/rg.2018170165.
  • 2- Ho ML. Pediatric Neck Masses: Imaging Guidelines and Recommendations. Radiol Clin North Am. 2022;60(1):1-14.
  • 3- Kadom N, Lee EY. Neck masses in children: current imaging guidelines and imaging findings. Semin Roentgenol. 2012;47(1):7-20. doi: 10.1053/j.ro.2011.07.002.
  • 4. Meuwly JY, Lepori D, Theumann N, Schnyder P, Etechami G, Hohlfeld J, Gudinchet F. Multimodality imaging evaluation of the pediatric neck: techniques and spectrum of findings. Radiographics. 2005;25(4):931-48. doi: 10.1148/rg.254045142.
  • 5- Shekdar KV, Mirsky DM, Kazahaya K, Bilaniuk LT. Magnetic resonance imaging of the pediatric neck: an overview. Magn Reson Imaging Clin N Am. 2012;20(3):573-603. doi: 10.1016/j.mric.2012.05.008.
  • 6- Riva G, Sensini M, Peradotto F, Scolfaro C, Di Rosa G, Tavormina P. Pediatric neck masses: how clinical and radiological features can drive diagnosis. Eur J Pediatr. 2019;178(4):463-471.
  • 7- Shuaibu IY, Sholadoye TT, Ajiya A, Usman MA, Aliyu HO. Pediatric neck masses in Zaria: A review of clinical profile and treatment outcome. Afr J Paediatr Surg. 2021; 18(4):205-209.
  • 8-Hsieh, Y.Y., Hsueh, S., Hsueh, C., et al., 2003. Pathological analysis of congenital cervical cysts in children: 20 years experience at Chang Gung Memorial Hospital. Chang Gung Med. 26, 107–113.
  • 9- Friedman ER, John SD. Imaging of pediatric neck masses. Radiol Clin North Am. 2011;49(4):617-32, v. doi: 10.1016/j.rcl.2011.05.005.
  • 10- Meier JD, Grimmer JF. Evaluation and management of neck masses in children. Am Fam Physician. 2014;89(5):353-8.
There are 10 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research Article
Authors

Sabriye Gülçin Bozbeyoğlu 0000-0003-1593-4351

Neslihan Gülçin 0000-0003-3102-2838

Early Pub Date January 15, 2024
Publication Date January 1, 2024
Submission Date May 28, 2023
Published in Issue Year 2024 Volume: 10 Issue: 1

Cite

APA Bozbeyoğlu, S. G., & Gülçin, N. (2024). Radiological and Clinical Approach to Pediatric Non-Inflammatory Head and Neck Masses. Akdeniz Tıp Dergisi, 10(1), 150-155. https://doi.org/10.53394/akd.1304370