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Clinical Evaluation of Tissue Biopsy for Children with Neck Mass; A Single Center Study

Korean Journal of Pediatrics 2005;48(8):839-845.
Published online August 15, 2005.
Clinical Evaluation of Tissue Biopsy for Children with Neck Mass; A Single Center Study
You Sook Youn1, Hye Won Yoon1, Sun Young Kim1, Ji Young Sul2, Chang Jun Song3, Jin Man Kim4, Kyung Duk Park1
1Department of Pediatrics, College of Medicine, Chungnam National University, Daejeon, Korea
2Department of Surgery, College of Medicine, Chungnam National University, Daejeon, Korea
3Department of Radiology, College of Medicine, Chungnam National University, Daejeon, Korea
4Department of Pathology, College of Medicine, Chungnam National University, Daejeon, Korea
조직검사를 시행한 소아 경부 종류의 임상적 고찰 : 단일 기관 연구
윤유숙1, 윤혜원1, 김선영1, 설지영2, 송창준3, 김진만4, 박경덕1
1충남대학교 의과대학 소아과학교실
2충남대학교 의과대학 외과학교실
3충남대학교 의과대학 방사선과학교실
4충남대학교 의과대학 조직병리학교실
Correspondence: 
Sun Young Kim, Email: sunyoung@cnuh.co.kr, nel1205@hanmail.net
Abstract
Purpose
: Neck masses, in pediatric population, derive from a multitude of congenital, inflammatory, or neoplastic diseases. The majority of these masses represent benign conditions. However, thorough clinical evaluation is required to rule out malignant diseases. We evaluated the causes, clinical characteristics and outcomes of children with neck masses who underwent tissue biopsy.
Methods
: A total of 28 medical records of children with neck mass who underwent tissue biopsy at Chungnam National University Hospital, from January 2000 to March 2004 were retrospectively analyzed. The methods of biopsy were ultrasonography guided core biopsy(CB), fine needle aspiration biopsy(FNAB) and excisional biopsy.
Results
: Out of 28 patients, half were boys. The most common location of the mass was the posterior cervical area(N=19, 67.9%). Laboratory findings of peripheral blood and serologic studies were nonspecific. In 25(89.3%) cases, CB or FNAB was initially performed for neck masses. Among them 10 cases(40%) were reactive hyperplasia, 8(32%) inflammatory granulation tissues, 4(16%) necrotizing lymphadenitis, and 3(12%) acute suppurative inflammations. Initially, excisional biopsy was performed for diagnosis in 3(10.7%) cases. Diagnosis of these cases was thyroglossal duct cyst, dermoid cyst and lymphoblastic lymphoma, respectively.
Conclusion
: Most neck masses in children were benign. CB and FNAB were safe methods for tissue sampling, without need for general anesthesia.
Key Words: Neck mass , Core biopsy , Fine needle aspiration biopsy , Excisional biopsy


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