Lymphoma mimicking a thyroglossal duct cyst in an adolescent.
Mass lesions of the head and neck in infants and children can be either developmental, inflammatory or neoplastic. Lymphomas (Hodgkin's or Non-Hodgkin's) commonly present as neck lumps in children. Although malignancy is not the commonest aetiology of paediatric cervical lumps, a high index of suspicion is critical to facilitate early diagnosis and treatment of cervical lesions. We present the case of a 15-year-old boy who presented with a solitary midline cervical lesion, which simulated a thyroglossal cyst on clinical examination. However, histopathological examination revealed it to be a Hodgkin's lymphoma. Related literature is also reviewed.
Tarnaris
Andrew
A
Department of ENT Surgery, Singleton Hospital, Swansea, Wales, UK. atarnaris@yahoo.co.uk
Giridharan
Wijayasingam
W
Aird
David W
DW
D000293:Adolescent; D003937:Diagnosis, Differential; D006689:Hodgkin Disease / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008297:Male; D009333:Neck; D016539:Reed-Sternberg Cells / Q000473:pathology; D013955:Thyroglossal Cyst / Q000175:diagnosis*