Pediatric Mass Lesions of the Head and Neck Region and Fine-Needle Aspiration Biopsy Results
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Tarih
2016Yazar
Eski, Erkan
Akdogan, Volkan
Turkoglu, Seda Babakurban
Sokmen, Muhammed Furkan
Caylakli, Fatma
Ozer, Cem
Canpolat, Emine Tuba
Yİlmaz, Ismail
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Objective: 1. To provide a classification of pediatric mass of the head and neck region and evaluate their frequency.
2. To examine the findings of fine-needle aspiration biopsy (FNAB) in pediatric patients along with its contribution to diagnosis.
Methods: Totally, 233 pediatric patients (125 boys and 108 girls) operated at Baskent University for head and neck mass were included. Clinical, radiological, and histopathological data were retrieved from medical records.
Results: The mean age was 119 +/- 65 months, and the mean duration of follow-up was 75 +/- 49 months. Localization of the masses was as follows: 208 (89%) in the neck, 21 (9%) in the oral cavity, 2 (1%) in the neck and nasopharynx, and two (1%) in the larynx. The most common surgical procedure was open excisional biopsy (n=105, 45%) followed by cystic mass excision (n=72, 31%) and salivary gland excision (n=33, 14%). Basedon histopathological findings, benign cystic lesions were the most common disease group (n=77, 33.1%), whereas reactive lymphadenopathy was the most common condition (n=36, 15%) when a single disease was considered. Infectious/inflammatory diseases, malignancies, and benign salivary glands were present in 49 (21%), 24 (10.3%), and 22 (9.4%) patients, respectively. FNAB was performed in 29.8% of the patients with an accuracy of 90.3% (95% CI, 80.1-96.4).
Conclusion: The differential diagnosis of head and neck masses during childhood includes a wide spectrum with the different conditions being benign cystic diseases of congenital origin and reactive lymphadenopathies. Owing to its high predictive value, FNAB represents a rapid and reliable method that can be commonly used in both adult and pediatric patients.
Bağlantı
https://www.turkarchotolaryngol.net/sayilar/66/buyuk/29-34y2.pdfhttp://hdl.handle.net/11727/3784