Clinico-pathological study of paediatric neck masses in a tertiary care hospital of central India.
Dr. Ankur Gupta, Dr. Lavi Ukawat, Dr. Vivek Nagar, Dr. Anshu Singh
Background: Neck mass is a common clinical finding that can be encountered in patients of all age groups. Neck masses are frequently encountered in paediatric age group, and can be present as diagnostic and therapeutic challenges. Early diagnosis and proper management of a paediatric neck mass is challenging for the clinicians as well as surgeons. This study was done to assess the clinico-pathological profile of the paediatric neck masses in a tertiary health care centre of central India. Methods: The study was conducted among the children up to 16 years of age with neck masses presented in the outpatient department of ENT department in a tertiary health care centre of central India from Jan 2018 to Jan 2019 were included. Results: Inflammatory or infectious swelling was most common etiology (69.6%), followed by congenital (26.4%), and neoplastic (3.9%). In our study we found maximum cases of reactive lymphadenopathy that is 37 (36.2%), followed by 22 (21.5%) of mycobacterial lymphadenitis, 13(12.7%) of dermoid cyst, 11(10.7%) of suppurative lymphadenopathy, 10 (9.8%) of lymph node abscess, 8 (7.8%) of thyroglossal cyst, 5 (4.9%) of branchial cyst, 3 cases (2.9%) of Hodgkin’s lymphoma and 1(0.98%) case of each non-Hodgkin’s lymphoma, cystic hygroma and lipoma were seen. Conclusions: Infectious or inflammatory etiology is the commonest causes of neck masses in the paediatric patients. The neck masses can range from simple lymphadenitis to dreadful malignancy. An orderly and sequential approach is all needed to manage these lesions.