“Neck Masses In Children” – Help From RadiologyAssistant.nl

This post contains excerpts from the outstanding Neck Masses In Children from RadiologyAssistant.nl by Annemieke Littooij, Cécile Ravesloot and Erik Beek
Radiology department of the University Medical Center Utrecht in the Netherlands.

Here are the excerpts but be sure to go review the entire article:

Publication date A mass in the neck is a common finding in children.

In this article we present a pictorial essay of neck masses in children and provide a diagnostic approach based on the location of the lesion and whether it is cystic or solid.

Ultrasound is the imaging method of choice and in many cases a definite diagnosis is possible, especially if the lesion is cystic.

MRI is of value in large lesions, to determine whether the lesion infiltrates into deep spaces.

CT is sometimes applied in acutely ill patients with infections to assess whether an abscess is present.

In suspected malignant lymphoma ultrasound can demonstrate which node is most accessible to image guided biopsy or excision, while PET/CT is used for staging.

All of the  references that follow are also from the article above:

  1. Neuroblastoma, Ganglioneuroblastoma, and Ganglioneuroma: Radiologic-Pathologic Correlation1.by Lonergan GJ, Schwab CM,Suarez ES, Carlson CL.
    Radiographics 2002, 22(4); 911-34
  2. Vascular anomalies classification: recommendations from the international society for the study of vascular anomalies.by Wassef M, Blei F, Adams D et al.
    Pediatrics 2015; 136:e203-14
  3. Cystic masses of neck: A pictorial reviewby Mahesh Kumar Mittal, Amita Malik, Binit Sureka, and Brij Bhushan Thukral
    Indian J Radiol Imaging. 2012 Oct-Dec; 22(4): 334-343.
  4. Pediatric Neck MassesPowepoint presentation by Mark Domanski, M.D., Michael Underbrink, M.D.
    of the Dept. of Otolaryngology, University of Texas Medical Branch, Galveston
  6. The Child With a Neck Massby Bernadette L. Koch, MD.
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