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Ryu J, Igawa T, Mohole J, Coward M. Congenital Neck Masses. Neoreviews 2023; 24:e642-e649. [PMID: 37777610 DOI: 10.1542/neo.24-10-e642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/02/2023]
Abstract
There are many possible causes of congenital neck masses, with the most common ones being thyroglossal duct cysts, branchial cleft anomalies, and vascular malformations. Most congenital neck masses are asymptomatic in the neonatal period, but depending on the location and the size, they can cause airway obstruction and serious complications at birth. Proper diagnosis is important for optimal treatment planning, and if the airway is compromised, multidisciplinary teamwork is critical for proper airway management. This review summarizes the clinical features, etiology, diagnosis, management, and prognosis of different types of congenital neck masses.
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Affiliation(s)
- Jane Ryu
- Department of Pediatrics/Neonatology, University of California, Los Angeles Mattel Children's Hospital, Los Angeles, CA
| | - Teryn Igawa
- Department of Pediatrics/Neonatology, University of California, Los Angeles Mattel Children's Hospital, Los Angeles, CA
| | - Jyodi Mohole
- Department of Pediatrics/Neonatology, University of California, Los Angeles Mattel Children's Hospital, Los Angeles, CA
| | - Melissa Coward
- Department of Pediatrics/Neonatology, University of California, Los Angeles Mattel Children's Hospital, Los Angeles, CA
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2
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Chandiok K, Zhang M, Sulaiman B, Thomson N. Dermoid cyst or thyroglossal duct cyst? A histopathological complexity. ANZ J Surg 2023; 93:381-383. [PMID: 35661381 DOI: 10.1111/ans.17821] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Revised: 04/27/2022] [Accepted: 05/06/2022] [Indexed: 11/30/2022]
Affiliation(s)
- Karan Chandiok
- Department of Otolaryngology, Head and Neck Surgery, Gosford Hospital-Central Coast Local Health District, NSW Health, Gosford, New South Wales, Australia
| | - Michael Zhang
- Department of Otolaryngology, Head and Neck Surgery, Gosford Hospital-Central Coast Local Health District, NSW Health, Gosford, New South Wales, Australia.,School of Medicine and Public Health-Faculty of Health and Medicine, The University of Newcastle, Newcastle, New South Wales, Australia
| | - Ban Sulaiman
- Department of Anatomical Pathology, Gosford Hospital-Central Coast Local Health District, NSW Health, Gosford, New South Wales, Australia
| | - Neil Thomson
- Department of Otolaryngology, Head and Neck Surgery, Gosford Hospital-Central Coast Local Health District, NSW Health, Gosford, New South Wales, Australia
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3
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Dermawan JK, Chute DJ. Educational Case: Developmental Neck Masses and Other Neck Tumors. Acad Pathol 2019; 6:2374289519888735. [PMID: 31803826 PMCID: PMC6876162 DOI: 10.1177/2374289519888735] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2019] [Revised: 08/21/2019] [Accepted: 10/12/2019] [Indexed: 11/17/2022] Open
Abstract
The following fictional case is intended as a learning tool within the Pathology Competencies for Medical Education (PCME), a set of national standards for teaching pathology. These are divided into three basic competencies: Disease Mechanisms and Processes, Organ System Pathology, and Diagnostic Medicine and Therapeutic Pathology. For additional information, and a full list of learning objectives for all three competencies, see http://journals.sagepub.com/doi/10.1177/2374289517715040.1
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Affiliation(s)
- Josephine Kamtai Dermawan
- Department of Pathology, Robert J. Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH, USA
| | - Deborah J Chute
- Department of Pathology, Robert J. Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH, USA
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Sekulic M, Dolan M, Murugan P, Li F. Metastatic mature teratoma to the neck with respiratory-type epithelium: a case requiring evidence of chromosome 12p overrepresentation to differentiate malignant and benign diagnoses. APMIS 2017; 125:1125-1128. [PMID: 28960502 DOI: 10.1111/apm.12771] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Miroslav Sekulic
- Department of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - Michelle Dolan
- Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, MN, USA
| | - Paari Murugan
- Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, MN, USA
| | - Faqian Li
- Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, MN, USA
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5
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Dremmen MH, Tekes A, Mueller S, Seyfert D, Tunkel DE, Huisman TA. Lumps and Bumps of the Neck in Children-Neuroimaging of Congenital and Acquired Lesions. J Neuroimaging 2016; 26:562-580. [DOI: 10.1111/jon.12376] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2016] [Accepted: 06/18/2016] [Indexed: 11/30/2022] Open
Affiliation(s)
- Marjolein H.G. Dremmen
- Division of Pediatric Radiology and Pediatric Neuroradiology, Department of Radiology and Radiological Science; Johns Hopkins Hospital; Baltimore MD
- Division of Pediatric Radiology, Department of Radiology; Erasmus MC - University Medical Center Rotterdam; Rotterdam The Netherlands
| | - Aylin Tekes
- Division of Pediatric Radiology and Pediatric Neuroradiology, Department of Radiology and Radiological Science; Johns Hopkins Hospital; Baltimore MD
| | - Samantha Mueller
- Division of Pediatric Radiology and Pediatric Neuroradiology, Department of Radiology and Radiological Science; Johns Hopkins Hospital; Baltimore MD
| | - Donna Seyfert
- Division of Pediatric Radiology and Pediatric Neuroradiology, Department of Radiology and Radiological Science; Johns Hopkins Hospital; Baltimore MD
| | - David E. Tunkel
- Division of Pediatric Otolaryngology; Department of Otolaryngology-Head and Neck Surgery; Johns Hopkins Hospital; Baltimore MD
| | - Thierry A.G.M. Huisman
- Division of Pediatric Radiology and Pediatric Neuroradiology, Department of Radiology and Radiological Science; Johns Hopkins Hospital; Baltimore MD
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Affiliation(s)
- William J Curtis
- Department of Oral & Maxillofacial Surgery, University of Kentucky College of Dentistry, 800 Rose Street D508, Lexington, KY 40536, USA.
| | - Sean P Edwards
- Department of Pediatric Oral and Maxillofacial Surgery, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA
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Neglected papillary thyroid carcinoma seven years after initial diagnosis. Case Rep Oncol Med 2013; 2013:148973. [PMID: 23401818 PMCID: PMC3557642 DOI: 10.1155/2013/148973] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2012] [Accepted: 12/25/2012] [Indexed: 12/25/2022] Open
Abstract
Papillary thyroid carcinoma (PTC) is the most common epithelial thyroid tumor, accounting for more than 80% of all thyroid tumors. Recent advances in ultrasonographic screening and US-guided fine-needle aspiration biopsy (FNAB) have facilitated the early detection and diagnosis of papillary thyroid carcinomas. In exceptionally rare cases, papillary thyroid tumors may assume enormous dimensions due to recurrent disease or the patient's negligence of the problem. We report an extremely rare case of a 72-year-old woman presented with a neglected giant exophytic papillary thyroid carcinoma with hemorrhagic ulcers. Computed tomography showed a mass measured 17 × 12 cm that caused a displacement of the trachea to the right side and reached the mediastinum. After bleeding management, patient was discharged. The patient was fully aware of her situation, but she denied any further therapeutic management.
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Abstract
Palpable neck masses are a common indication for pediatric imaging. Such lesions may be caused by infectious, inflammatory, tumoral, traumatic, lymphovascular, immunologic, or congenital etiologies. Radiological assessment of neck masses in young children should be tailored based on patient presentation and physical examination, as well as clinical suspicion. The goal of imaging should be to help arrive at a diagnosis or limited differential in an efficient manner while minimizing radiation exposure.
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Affiliation(s)
- Elliott R Friedman
- Department of Diagnostic & Interventional Imaging, University of Texas Health Science Center at Houston, 6431 Fannin-MSB2.130B, Houston, TX 77030, USA
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Hartog H, Dikkers FG, Veldhuizen AG, Coppes MH, Sleeboom C, de Langen ZJ. Cervical cystic swelling in an adolescent: unusual association of a cervical mature teratoma with vertebral anomalies and a history of gastric duplication cyst. J Pediatr Surg 2011; 46:e15-8. [PMID: 21683185 DOI: 10.1016/j.jpedsurg.2011.02.046] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2010] [Revised: 02/03/2011] [Accepted: 02/04/2011] [Indexed: 01/07/2023]
Abstract
A 14-year-old girl presented with a cervical cystic swelling in association with deformity of cervical vertebrae. As a child, she had been treated for gastric duplication. Pathologic examination of the resected cervical swelling revealed a mature teratoma. We discuss possible embryologic associations, which could explain the unusual combination of a mature teratoma with vertebral anomalies and gastric duplication.
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Affiliation(s)
- Hermien Hartog
- Department of Pediatric Surgery, University Medical Center Groningen, University of Groningen, 9700 RB Groningen, The Netherlands
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Endolaryngeal extension of thyroglossal duct cyst. Auris Nasus Larynx 2011; 39:220-3. [PMID: 21621356 DOI: 10.1016/j.anl.2011.04.008] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2011] [Revised: 04/19/2011] [Accepted: 04/21/2011] [Indexed: 11/21/2022]
Abstract
Thyroglossal duct cysts are the most common congenital neck masses that develop during childhood, The masses develop from remnants of thyroglossal ducts, and typically appear as midline neck masses. Endolaryngeal extension of thyroglossal duct cysts has been reported mostly as midline neck swelling. We observed a case of extension of the thyroglossal duct cyst to the supraglottic area without neck swelling. A 50-year-old man presented with a 1-month history of foreign-body sensation in the throat. Fiberscopic and radiologic findings were similar to those associated with a saccular cyst, but its proximity to the hyoid bone raised the possibility of thyroglossal duct cyst. Operation was performed via an external incision to completely remove the cyst. Postoperative fiberscopy revealed that the aryepiglottic fold swelling had disappeared. Diagnosis of thyroglossal duct cyst was confirmed on the basis of pathological findings. In cases in which it is difficult to remove the cyst from the hyoid membrane, the hyoid bone midline portion should be dissected. Thyroglossal duct cysts should be considered in cases with a submucosal tumor in the supraglottic region, and radiological examinations should be performed.
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Koo KY, Lee JS, Lee SM, Park MS, Namgung R, Park KI, Lee C, Yoon CS, Jung WH, Choi HS. A case of postoperative nasopharyngeal reflux associated with retropharyngeal lymphangioma in newborn infant. KOREAN JOURNAL OF PEDIATRICS 2010. [DOI: 10.3345/kjp.2010.53.2.258] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Kyo Yeon Koo
- Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea
| | - Jun Seok Lee
- Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea
| | - Soon Min Lee
- Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea
| | - Min Soo Park
- Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea
| | - Ran Namgung
- Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea
| | - Kook In Park
- Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea
| | - Chul Lee
- Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea
| | - Choon Sik Yoon
- Department of Radiology, Yonsei University College of Medicine, Seoul, Korea
| | - Woo Hee Jung
- Department of Clinical Pathology, Yonsei University College of Medicine, Seoul, Korea
| | - Hong Shik Choi
- Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea
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Dao TV, Bastidas JA, Kelsch R, Kraut RA. Malignant Ameloblastoma: A Case Report of a Recent Onset of Neck Swelling in a Patient With a Previously Treated Ameloblastoma. J Oral Maxillofac Surg 2009; 67:2685-9. [DOI: 10.1016/j.joms.2009.04.099] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2008] [Revised: 03/12/2009] [Accepted: 04/19/2009] [Indexed: 11/28/2022]
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Abstract
Congenital cervical teratomas are extremely rare tumors with high perinatal mortality and morbidity rates particularly due to compression and distortion of the infant's airway. Hence, these mostly benign malformations require immediate excision, whereas surgery of these tumors is challenging for a multidisciplinary team. We report on a recent case of congenital cervical mature teratoma with total excision and cure. The aim of this case study is to report the authors' experience in managing a case of congenital cervical teratoma to provide a structured approach and help in decision making, once prenatal diagnosis is made.
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Abstract
A variety of lesions occur in the pediatric salivary glands. With modern imaging techniques such as Doppler sonography, helical CT, and MRI, identification of a specific etiology is often possible. Knowledge of clinical information, normal anatomy, and imaging characteristics of salivary gland pathology are essential for appropriate radiologic evaluation. This review illustrates the various congenital, neoplastic, and inflammatory entities that can occur within the parotid, submandibular, and sublingual spaces.
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