| The Clinicopathological Analsysis of Cervical Masses in Infants and Children. |
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Duck Kyu Kim, Min Soo Kim, Hyu Ho Lim, KI Yang Ryoo |
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Department of Pediatrics, College of Medicine, Hallym University, Seoul, Korea |
| 소아경부 종류의 임상 및 병리학적 고찰 |
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김덕규, 김민수, 임규호, 유기양 |
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한림의대 강남성심병원 소아과 |
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Received: 30 July 1987 • Accepted: 15 December 1987 |
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| Abstract |
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The authors have reviewed 108 patients under 15 years of age who presented with mass on the
cervical area at the Hallym University Kang Nam Sung Sim Hospital from January 1981 to June
1986.
Following results were obtained;
1) The histopathological analysis showed inflammatory change in 79.6%, benign tumor 9.2%,
congenital origin 8.3% and malignant tumor 2.7%.
2) The ratio of male to femal was 1.9:1, but in the cases of TB lymphadenitis the ratio of male to
female was 1:1.6.
3) The lesions were analyzed according to the anatomical presentation for the purpose of the
diagnosis. The solitory mass was 62% and multiple Masses were 38%. All of the congenital lymph
node were located in the midline of the neck. Most of the nonspecific lymphadenitis and tuberculous
lymphadenitis were located in the posterior of sternocleidomastoid muscle. Most of the benign tumor
were located in the anterior of sternocleidomastoid muscle.
4) The analysis according to site revealed that masses under 2 cm diameter were more likely to be
inflammatory and benign neoplasm whereas those over 2 cm diameter were more often malignant
tumor.
5) The duration of disease from the onset to treatment was within 3 months in most cases.
6) We found that we should biopsy in the case of rapidly progressive growth, the kind of firm mass
over 2 cm diameter, locating in supraclavicular area, persistently unexplained fever and weight loss. |
| Key Words:
Cervical mass, Clinicopathological findings |
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