Head and Neck Mass in Children
高雄長庚醫院 兒童血液腫瘤科 陳昱潔醫師
Head and Neck Mass in Children 60-70% area benign lesion Most in neck region (30-40%)
Head/Neck Mass in Children Developmental Inflammatory/Reactive Neoplastic
Cystic lesion Midline lesions Midline lesions are either thyroglossal duct cysts, dermoid cysts or ranulas. Older children can be asked to protrude their tongue. A thyroglossal duct cyst will move upward with the hyoid bone. Ranulas have a typical location in the floor of the mouth. Off-midline lesions Off-midline lesions can be branchial cleft cysts or lymphangiomas. Branchial cleft cysts often contain debris. Anteriorly located lymphangiomas are often multicystic. In the posterior neck they are often single.
Solid lesion
Solid lesion
Solid lesion
Normal lymphatic tract
Indications for Referral
Take Home Message DDx: Developmental/Inflammatory(Infection)/Neoplasm DDx vary by age Indications for image exam/referral: progressive change, persistent >/ 6 weeks size > 2 cm (1.5-3cm) lymph nodes of unfavorable site Tissue proof is mandatory if the treatment response is not as expected
謝謝聆聽 敬請指教