J Korean Radiol Soc.  1994 Dec;31(6):1185-1189.

CT Findings of Palpable Neck Masses in Children

• Park CS
• Suh CH
• Seok EH
• Chung WK
• Chung WM

Abstract

PURPOSE
We performed this study to assess the value of CT in the differential diagnosis of palpable neck masses in children.
MATERIALS AND METHODS
We retrospectively reviewed the CT scans of the palpable neck masses in 30 children. The masses were proved histopathologically and classified into cystic, solid, and inflammatory mass and their CT findings were analyzed.
RESULTS
Twelve cases were cystic masses, 4 were solid masses, and 14 were inflammatory lesions. Cystic masses included cystic lymphangiomas (n=6), branchial cleft cysts (n=3), thyroglossal duct cysts (n=2), and ranula (n=l). Cystic lymphangiomas showed insinuating appearances into adjacent structures and 4 cases occurred in the posterior cervical space. All branchial cleft cysts were round cystic masses with smooth wall and displaced the submandibular gland anteriorly and the sternocleidomastoid muscle posteriorly. Two thyroglossal duct cysts occurred centrally adjacent to the hyoid bone and 1 ranula in the submental area. Solid masses were juvenile hemangioma, pleomorphic adenoma in submandibular gland, neurilemmoma, and fibromatosis colli. Juvenile hemangioma showed well-enhancing mass with indistinct margin and the other solid masses had well-defined margin with their characteristic location. Inflammatory lesions were abscess (n=4), deep neck infections with lymphadenopathy (n=4), submandibular gland inflammation (n=3), and tuberculous lymphadenitis (n=3) and they showed strand-like enhancement in adjacent subcutaneous tissues. Tuberculous lymphadenitis had multiple lymph node enlargement with internal low attenuation areas and showed less surrounding strand-like enhancement than suppurative lymphadenopathies.
CONCLUSION
Most neck masses in infants and children were of congenital or inflammatory origin. CT is useful for the evaluation of the child presenting with a neck mass, because it can differentiate various forms of neck masses and is able to reveal the relationship of the masses to the adjacent structures with their characteristic location.

MeSH Terms

Abscess
Adenoma, Pleomorphic
Branchioma
Child*
Diagnosis, Differential
Fibroma
Hemangioma
Humans
Hyoid Bone
Infant
Inflammation
Lymph Nodes
Lymphangioma, Cystic
Lymphatic Diseases
Neck*
Neurilemmoma
Ranula
Retrospective Studies
Subcutaneous Tissue
Submandibular Gland
Thyroglossal Cyst
Tomography, X-Ray Computed
Tuberculosis, Lymph Node