Pediatrik Boyun Kitlelerine Yaklaşım
ÖzÇocuklarda baş-boyun kitleleri gelişimsel, inflamatuvar ve neoplastik olmaküzere üç kategoriye ayrılır. Tüm pediatrik boyun kitlelerinde malignite % 10 oranında izlenir. Yapılacak çalışmalar tam kan sayımı, tüberküloz için pürifiye protein derivesi (PPD) testi ve Epstein-Barr virus, sitomegalovirus, HIV, toksoplazmave kedi tırmığı hastalığı etkeni titrelerinin belirlenmesidir. Gelişimsel veya pal-pabl bir kitle için ultrasonografi öncelikli görüntüleme yöntemidir. Şüpheli bakteriyel lenfadenitlerin tedavisi için kullanılacak antibiyotik Staphylococcus aureusve A grubu streptokokları hedeflemelidir. Maligniteden şüphelenildiğinde hastabiyopsi açısından değerlendirilmelidir.
Anahtar Kelimeler:
Pediatrik, boyun kitlesi, servikallenfadenit
Evaluation And Management Of Pediatric Neck Masses
AbstractHead and neck masses in children fall into one of three categories: develop-mental, inflammatory or neoplastic. Children neck masses require through clinical examination and follow-up to determine the biological nature and course of theabnormality. Malignancy must be considered, as it occurs in 10% of all pediatricneck masses. Work up for a neck mass may include a complete blood count, purified protein derivative (PPD) test for tuberculosis; and measurement of titers for Epstein-Barr virus, cytomegalovirus, human immunodeficiency virus, toxoplasmosis and cat scratch disease. Ultrasonography is preferred imaging study for adevelopmental or palpable mass. Antibiotic therapy for suspected bacterial lymphadenitis should target Staphylococcus aureusand group A streptococcus. Ifmalignancy is suspected, the patient should be evaluated for possible biopsy.
Keywords:
Pediatric, neck mass, cervicallymphadenitis,
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- ISSN: 1309-0453
- Başlangıç: 2009
- Yayıncı: Selen Medya Yayıncılık Tanıtım ve Organizasyon Hizmetleri