Newsletter November 2016

Dear collegues, we present a new article

Neck Masses in Children

by Annemieke Littooij, C├ęcile Ravesloot and Erik Beek

of the Radiology department of the University Medical Center Utrecht in the Netherlands

In this article we present a pictorial essay of neck masses in children and provide a diagnostic approach based on the location of the lesion and whether it is cystic or solid.

Go to the article...

Diagnostic approach

In a neck lesion in a child, ultrasound can usually determine whether a lesion is cystic or solid.

  • Cyst
    In cystic lesions the diagnosis can frequently be made based on the location of the lesion (see next figure).
  • Lymph node
    If the lesion is solid the next step is to assess whether it is a lymph node or something else.
    Often more than one lymph node is enlarged. Try to differentiate between reactive nodes, lymphadenitis due to TB or cat-scratch disease and malignant lymphoma.
  • Solid - not a lymph node
    If a solid lesion is not a lymph node look for a possible site of origin, like the salivary gland, the thyroid gland or the sternocleidomastoid muscle.
    Subcutaneous solid lesions sometimes have a typical appearance, like pilomatrixomas, lipomas or hemangiomas.

In many cases however a solid lesion will be non-specific and a diagnosis can only be made through biopsy or excision.

Please contact us for your reaction if you have any comments, suggestions for future subjects or if you have a subject, that you would like to present in the Radiology Assistant.
See the Guidelines for authors for more information.

Robin Smithuis and Otto van Delden (editors)