All issues > Volume 31(4); 1988

Original Article

J Korean Pediatr Soc. 1988;31(4):492-499. Published online April 30, 1988.

The Clinicopathological Analsysis of Cervical Masses in Infants and Children.

Duck Kyu Kim¹, Min Soo Kim¹, Hyu Ho Lim¹, KI Yang Ryoo¹

¹Department of Pediatrics, College of Medicine, Hallym University, Seoul, Korea

Received: July 30, 1987;  Accepted: December 15, 1987.

Abstract

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.

Keywords :Cervical mass, Clinicopathological findings