title: From Benign to Malign in a Case of Cervical Adenopathy in a 17-Year-Old Adolescent: Diagnostic Traps.
abstract: Distinguishing between benign and malign adenopathies remains a challenge and could represent a source of error in a diagnosis. We report a case of right laterocervical adenopathy in a 17-year-old teenager admitted to hospital with an episode of fever associated with dysphagia, congested pharynx, and pultaceous deposits. Initially the adenopathy was considered to be secondary to a coinfection withStreptococcusB-hemolytic and Epstein-Barr virus, as suggested by the positive bacteriological and serological tests. The onset of the adenopathy before the episode and the ultrasound modifications raised the suspicion of a malignancy, later confirmed by the histopathologic examination of the lymph node excision. The final diagnosis was nodal metastasis of an undifferentiated lymphoepithelial carcinoma with an ENT starting point. Currently, the adolescent is hospitalised in the ENT ward, where the pharynx carcinoma with nodal metastasis was confirmed. Sometimes the infectious context can mask or unmask a malign chronic disease with insidious evolution.
authors.affiliation: Vasile Goldiș Western University of Arad, Arad, Romania.
authors.forename: Simona
authors.identifier: 0000-0003-0421-6549
authors.initials: S
authors.lastname: Dumitra
authors.affiliation: Vasile Goldiș Western University of Arad, Arad, Romania.
authors.forename: Maria
authors.initials: M
authors.lastname: Trailescu
authors.affiliation: Vasile Goldiș Western University of Arad, Arad, Romania.
authors.forename: Amelia
authors.initials: A
authors.lastname: Burlea
authors.affiliation: Vasile Goldiș Western University of Arad, Arad, Romania.
authors.forename: Claudia
authors.initials: C
authors.lastname: Covaci
authors.affiliation: Vasile Goldiș Western University of Arad, Arad, Romania.
authors.forename: Ozana
authors.initials: O
authors.lastname: Balan
authors.affiliation: Vasile Goldiș Western University of Arad, Arad, Romania.
authors.forename: Adrian
authors.initials: A
authors.lastname: Pavel
authors.affiliation: Vasile Goldiș Western University of Arad, Arad, Romania.
authors.forename: Carmen
authors.initials: C
authors.lastname: Crișan