Lack of response to initial antibiotics should prompt consideration of intravenous antibiotic therapy, referral for possible incision and drainage, or further workup. Antibiotic therapy for suspected bacterial lymphadenitis should target Staphylococcus aureus and group A streptococcus. Congenital neck masses are excised to prevent potential growth and secondary infection of the lesion. Computed tomography with intravenous contrast media is recommended for evaluating a malignancy or a suspected retropharyngeal or deep neck abscess. Ultrasonography is the preferred imaging study for a developmental or palpable mass. Workup for a neck mass may include a complete blood count purified protein derivative test for tuberculosis and measurement of titers for Epstein-Barr virus, cat-scratch disease, cytomegalovirus, human immunodeficiency virus, and toxoplasmosis if the history raises suspicion for any of these conditions. Although rare in children, malignant lesions occurring in the neck include lymphoma, rhabdomyosarcoma, thyroid carcinoma, and metastatic nasopharyngeal carcinoma. Common benign neoplastic lesions include pilomatrixomas, lipomas, fibromas, neurofibromas, and salivary gland tumors. Inflammatory neck masses can be the result of reactive lymphadenopathy, infectious lymphadenitis (viral, staphylococcal, and mycobacterial infections cat-scratch disease), or Kawasaki disease. Common congenital developmental masses in the neck include thyroglossal duct cysts, branchial cleft cysts, dermoid cysts, vascular malformations, and hemangiomas. Testicular cancer survival rates.Neck masses in children usually fall into one of three categories: developmental, inflammatory/reactive, or neoplastic. Survival rates and factors that affect prognosis (outlook) for non-Hodgkin lymphoma.Īmerican Cancer Society. Survival rates for Hodgkin lymphoma.Īmerican Cancer Society. About your retroperitoneal lymph node dissection.Īmerican Cancer Society. Positron emission tomography (PET) in oncology. Testicular tumors: what radiologists need to know-differential diagnosis, staging, and management. doi:10.7759/cureus.5479Ĭoursey Moreno C, Small WC, Camacho JC, et al. Primary pancreatic lymphoma: an uncommon presentation in the pancreatic tail. The challenges of diagnosing nondilated obstructive uropathy: a case report. Inflammatory lymphadenopathy in renal cell carcinoma: prognostic tool?. "Duodenal adenocarcinoma giving rise to rectal metastasis" a rare disease with an extremely rare metastatic pattern. Radiological features of gastrointestinal lymphoma. Unexplained lymphadenopathy: evaluation and differential diagnosis. Clinical efficacy and prognostic factors of CT-guided 125I brachytherapy for the palliative treatment of retroperitoneal metastatic lymph nodes. Differentiation of lymphoma presenting as retroperitoneal mass and retroperitoneal fibrosis: evaluation with multidetector-row computed tomography.
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