Çocukluk Çağı Benign Baş Boyun Kitlelerinde Tanı ve Tedavi Yaklaşımı

Abstract

Objective: Head and neck masses are frequently encountered in childhood. Radiological characterization of these lesions plays a crucial role in determining the appropriate treatment approach. At this stage, considering radiation exposure, radiological treatment and, if necessary, surgery should be directed. This study, it was aimed to discuss the diagnostic approach in childhood benign head and neck masses.
 Methods: A retrospective analysis was conducted on 64 pediatric patients who presented with head and neck masses and underwent radiological imaging between 2018 and 2022. Demographic data, radiological diagnostic methods, lesion localization, characterization, treatment approaches, and pathological findings of patients with congenital and acquired masses were obtained from the hospital system.
 Results: The distribution of age and gender among the 64 patients was similar across groups. Head and neck masses were predominantly located in the anterolateral cervical triangle. Thyroglossal duct cysts were the most common cystic masses, displaying mixed sonographic characteristics. Venolymphatic malformations (VLM) were the second most frequently observed masses, predominantly exhibiting cystic features. Hemangiomas were the most common solid masses encountered. In addition, while the cystic lesions were most frequently congenital, the solid ones were acquired.
 Regarding treatment planning, 32 patients (50%) underwent surgical intervention. Among the patients, 15.6% of the patients underwent sclerotherapy at least once. Medical treatment involved non-selective beta-blocker administration in 10 (15.6%) patients.
 Conclusion: The etiology of childhood head and neck masses encompasses a wide spectrum. Therefore, accurate diagnosis plays a crucial role in guiding clinicians toward appropriate medical and/or surgical treatment options.