Abstract:
BACKGROUND:Evaluation of palpable neck masses may be a diagnostic problem in pediatric patients, with differential diagnosis including congenital, inflammatory, tumoral and traumatic lesions. Ultrasonography is usually a satisfactory method to make a correct pre-operative evaluation of neck masses, although diagnosis is often challenging for the surgeon and the radiologist and sometimes only possible after a histopathological examination of the resected lesion. CASE PRESENTATION:We report an 8-month-old patient with a cervical, anterior midline mass. Ultrasonographic images showed features suggesting a partly cystic lesion, with a preoperative suspect of thyroglossal duct cyst. Histological examination, performed after surgical removal of the mass, led to a diagnosis of lymph node angiomyomatous hamartoma (AH). CONCLUSIONS:AH, a rarely occurring benign lymph node lesion, has been reported in the neck lateral region only twice. This case, presenting as a palpable neck midline mass, is the first reported case occurring in infancy. Although rare, AH should be included in the differential diagnosis of head and neck masses.
journal_name
BMC Pediatrjournal_title
BMC pediatricsauthors
Catania VD,Manzoni C,Novello M,Lauriola L,Coli Adoi
10.1186/1471-2431-12-172subject
Has Abstractpub_date
2012-11-06 00:00:00pages
172issn
1471-2431pii
1471-2431-12-172journal_volume
12pub_type
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