Neck epidermoid cyst mimicking tuberculosis at ultrasound: Case report and review of literature

Neck masses in children can be inflammatory, congenital or neoplastic. When a congenital cyst becomes infected repeatedly, it may mimic inflammatory disease and the diagnosis may be challenging with ultrasound. An increasing incidence of infection with non-tuberculous mycobacterial organisms...

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Main Authors: Jacopo Cambi, Giovanni Monciatti, Luca Pelliccia, Maria Carla Spinosi, Leopoldo Brindisi
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2016-02-01
Series:The Turkish Journal of Pediatrics
Subjects:
Online Access:https://turkjpediatr.org/article/view/1075
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author Jacopo Cambi
Giovanni Monciatti
Luca Pelliccia
Maria Carla Spinosi
Leopoldo Brindisi
author_facet Jacopo Cambi
Giovanni Monciatti
Luca Pelliccia
Maria Carla Spinosi
Leopoldo Brindisi
author_sort Jacopo Cambi
collection DOAJ
description Neck masses in children can be inflammatory, congenital or neoplastic. When a congenital cyst becomes infected repeatedly, it may mimic inflammatory disease and the diagnosis may be challenging with ultrasound. An increasing incidence of infection with non-tuberculous mycobacterial organisms has been observed in recent decades in children with cervical lymphadenopathy. An ultrasound scan performed during the infectious phase of a mass can be misleading and can lead to an incorrect diagnostic hypothesis with the risk of erroneous medical and surgical therapies. We describe a case of a lateral neck epidermoid cyst mimicking and misdiagnosed as a tuberculous lymphadenopathy at ultrasound scan and treated with primary surgical excision. After surgery, a histological diagnosis of an epidermal cyst was made. There were no signs of recurrence during the 12-month follow-up period. A review of the literature and a proposed practice pathway for lateral cervical lymphadenopathy in children is also reported.
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issn 0041-4301
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publishDate 2016-02-01
publisher Hacettepe University Institute of Child Health
record_format Article
series The Turkish Journal of Pediatrics
spelling doaj-art-b1b41f1955574598be72a0fd2a3d74572025-08-20T03:01:14ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212016-02-0158110.24953/turkjped.2016.01.013Neck epidermoid cyst mimicking tuberculosis at ultrasound: Case report and review of literatureJacopo Cambi0Giovanni Monciatti1Luca Pelliccia2Maria Carla Spinosi3Leopoldo Brindisi4Department of ENT, University of Siena, Siena, Italy.Department of ENT, University of Siena, Siena, Italy.Department of Diagnostic Radiology, University of Siena, Siena, Italy.Department of ENT, University of Siena, Siena, Italy.Department of ENT, University of Siena, Siena, Italy. Neck masses in children can be inflammatory, congenital or neoplastic. When a congenital cyst becomes infected repeatedly, it may mimic inflammatory disease and the diagnosis may be challenging with ultrasound. An increasing incidence of infection with non-tuberculous mycobacterial organisms has been observed in recent decades in children with cervical lymphadenopathy. An ultrasound scan performed during the infectious phase of a mass can be misleading and can lead to an incorrect diagnostic hypothesis with the risk of erroneous medical and surgical therapies. We describe a case of a lateral neck epidermoid cyst mimicking and misdiagnosed as a tuberculous lymphadenopathy at ultrasound scan and treated with primary surgical excision. After surgery, a histological diagnosis of an epidermal cyst was made. There were no signs of recurrence during the 12-month follow-up period. A review of the literature and a proposed practice pathway for lateral cervical lymphadenopathy in children is also reported. https://turkjpediatr.org/article/view/1075childepidermoid cystlymphadenopathynecktuberculosisultrasound
spellingShingle Jacopo Cambi
Giovanni Monciatti
Luca Pelliccia
Maria Carla Spinosi
Leopoldo Brindisi
Neck epidermoid cyst mimicking tuberculosis at ultrasound: Case report and review of literature
The Turkish Journal of Pediatrics
child
epidermoid cyst
lymphadenopathy
neck
tuberculosis
ultrasound
title Neck epidermoid cyst mimicking tuberculosis at ultrasound: Case report and review of literature
title_full Neck epidermoid cyst mimicking tuberculosis at ultrasound: Case report and review of literature
title_fullStr Neck epidermoid cyst mimicking tuberculosis at ultrasound: Case report and review of literature
title_full_unstemmed Neck epidermoid cyst mimicking tuberculosis at ultrasound: Case report and review of literature
title_short Neck epidermoid cyst mimicking tuberculosis at ultrasound: Case report and review of literature
title_sort neck epidermoid cyst mimicking tuberculosis at ultrasound case report and review of literature
topic child
epidermoid cyst
lymphadenopathy
neck
tuberculosis
ultrasound
url https://turkjpediatr.org/article/view/1075
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AT giovannimonciatti neckepidermoidcystmimickingtuberculosisatultrasoundcasereportandreviewofliterature
AT lucapelliccia neckepidermoidcystmimickingtuberculosisatultrasoundcasereportandreviewofliterature
AT mariacarlaspinosi neckepidermoidcystmimickingtuberculosisatultrasoundcasereportandreviewofliterature
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