Evaluation of neck masses in children.
Humans; Child; Thyroid Neoplasms/diagnosis; Branchioma/diagnosis; Dermoid Cyst/congenital/diagnosis; Head and Neck Neoplasms/*diagnosis; Hemangioma/diagnosis; Inflammation/diagnosis; Lymphangioma/diagnosis; Lymphatic Diseases/diagnosis; Lymphoma/diagnosis; Neuroblastoma/diagnosis; Rhabdomyosarcoma/diagnosis; Thyroglossal Cyst/congenital/diagnosis; Diagnosis; Differential; Chronic/diagnosis; Granulomatous Disease
Neck masses in children may be inflammatory, neoplastic or congenital. Although most of these masses are benign inflammatory nodes, an asymptomatic neck mass is the most common presentation of head and neck malignancies in children. Cystic lesions are usually pharyngeal cleft remnants or vascular malformations, whereas solid lesions are generally inflammatory or neoplastic. While the history and the physical examination are the most important parts of the evaluation of neck masses in children, biopsy may be necessary to establish the diagnosis.
Park Y W
American Family Physician
1995
1995-06
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Functioning liver metastases on an I-131 whole-body scan: a case of malignant struma ovarii.
*Iodine Radioisotopes; *Radiopharmaceuticals; *Whole-Body Irradiation; Adenoma/diagnosis; Female; Humans; Liver Neoplasms/diagnostic imaging/*secondary; Middle Aged; Multiple Primary/diagnosis; Neoplasms; Ovarian Neoplasms/*diagnostic imaging; Radionuclide Imaging; Struma Ovarii/diagnostic imaging/*secondary; Thyroid Neoplasms/diagnosis
A 46-year-old women was examined for severe constipation. Pelvic examination revealed a large pelvic mass extending to the level of the umbilicus. Computed tomography showed a large multicystic, septated mass in the pelvis and a small amount of fluid in the cul de sac. In addition, multiple ill-defined, mixed-attenuation hepatic lesions were identified. A malignant ovarian neoplasm with liver metastases was considered, so the pelvic mass was resected. Interestingly, histopathologic analysis revealed malignant struma ovarii of the follicular type. Biopsy of the liver lesions confirmed metastatic disease with similar histopathologic findings. All thyroid laboratory values were in the normal range. The patient then had a total thyroidectomy to optimize thyroid ablation therapy with I-131. This revealed a small follicular adenoma but no evidence of cancer. An I-131 whole-body scan was performed and showed uptake in multiple functioning liver metastases.
Konez O; Hanelin L G; Jenison E L; Goyal M; Randolph W
Clinical nuclear medicine
2000
2000-06
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1097/00003072-200006000-00014" target="_blank" rel="noreferrer noopener">10.1097/00003072-200006000-00014</a>