Fine-needle aspiration of head and neck masses in children

Hassan H. Ramadan, Mark Wax, Carole B. Boyd

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Purpose: Head and neck masses in children are common. Suspicious or persistent masses are referred to the otolaryngologist who is faced with the dilemma of deciding which ones require surgical excision. Fine-needle aspiration (FNA) in adults helps distinguish lesions requiring excision from those that do not. Few reports exist of its use in children. Patients and Methods: Between January 1991 and December 1994, 67 FNAs were performed on children, 29 of which (43%) were for head and neck masses. Based on the FNA findings, 16 patients underwent surgery. Results: In 13 patients, the final pathology was consistent with the FNA findings: granulomatous diseases (3), branchial cysts (3), acute/chronic lymphadenitis (3), thyroglossal cyst, hemangioma, Hodgkin's lymphoma, and Castleman's disease (one each). There was one misdiagnosis, no false positives, and two nondiagnostic specimens. Based on the results of FNA, surgery was not performed in the remaining 10 patients. The cytology was: cervical lymphadenopathy (7), abscess formation (1), lymphangioma (1), and leukemia (1). Conclusion: We conclude that FNA is an extremely useful tool in the management of head and neck masses in children. It is very well-tolerated by children, and we did not encounter any complications.

Original languageEnglish (US)
Pages (from-to)400-404
Number of pages5
JournalAmerican Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume18
Issue number6
DOIs
StatePublished - Nov 1997
Externally publishedYes

Fingerprint

Fine Needle Biopsy
Neck
Head
Hodgkin Disease
Branchioma
Thyroglossal Cyst
Giant Lymph Node Hyperplasia
Lymphangioma
Lymphadenitis
Hemangioma
Diagnostic Errors
Abscess
Cell Biology
Leukemia
Pathology

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Fine-needle aspiration of head and neck masses in children. / Ramadan, Hassan H.; Wax, Mark; Boyd, Carole B.

In: American Journal of Otolaryngology - Head and Neck Medicine and Surgery, Vol. 18, No. 6, 11.1997, p. 400-404.

Research output: Contribution to journalArticle

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