A Rare Cause of Neck Lump in an Infant
A 5 month old girl presented to the Paediatric Emergency Department with a rapidly growing neck mass over 24 hours. She was systemically well and otherwise asymptomatic. On examination she had a mobile, soft and non-tender 5 cm x 5 cm neck mass. Blood tests were unremarkable with normal inflammator...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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CINQUILL Medical Publishers Inc.
2022-11-01
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| Series: | POCUS Journal |
| Subjects: | |
| Online Access: | https://ojs.library.queensu.ca/index.php/pocus/article/view/15866 |
| _version_ | 1811216450204991488 |
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| author | David McCreary Salmah Lashhab |
| author_facet | David McCreary Salmah Lashhab |
| author_sort | David McCreary |
| collection | DOAJ |
| description |
A 5 month old girl presented to the Paediatric Emergency Department with a rapidly growing neck mass over 24 hours. She was systemically well and otherwise asymptomatic. On examination she had a mobile, soft and non-tender 5 cm x 5 cm neck mass. Blood tests were unremarkable with normal inflammatory markers. Point of Care Ultrasound (POCUS) was done which showed a solid left sided neck mass with increased vascularity but no evidence of collection or abscess. Given the atypical presentation and rapid growth the patient was commenced on empirical antibiotics and was discussed with both tertiary ENT and Oncology teams. An MRI was performed which was indeterminate. Biopsy of the neck mass was positive for Ewing Sarcoma. This is a rare case of Ewing Sarcoma in an infant. POCUS can be used to rule out common pathology and abnormal lymph nodes, aiding in ongoing investigation and management in neck lumps.
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| first_indexed | 2024-04-12T06:39:15Z |
| format | Article |
| id | doaj.art-9e743cbfae1a49b69927a1644090258c |
| institution | Directory Open Access Journal |
| issn | 2369-8543 |
| language | English |
| last_indexed | 2024-04-12T06:39:15Z |
| publishDate | 2022-11-01 |
| publisher | CINQUILL Medical Publishers Inc. |
| record_format | Article |
| series | POCUS Journal |
| spelling | doaj.art-9e743cbfae1a49b69927a1644090258c2022-12-22T03:43:46ZengCINQUILL Medical Publishers Inc.POCUS Journal2369-85432022-11-017210.24908/pocus.v7i2.15866A Rare Cause of Neck Lump in an InfantDavid McCreary0Salmah Lashhab1Paediatric Emergency Department, South Tyneside and Sunderland NHS Foundation TrustPaediatric Emergency Department, Sunderland Royal Hospital, South Tyneside and Sunderland NHS Foundation Trust, United Kingdom A 5 month old girl presented to the Paediatric Emergency Department with a rapidly growing neck mass over 24 hours. She was systemically well and otherwise asymptomatic. On examination she had a mobile, soft and non-tender 5 cm x 5 cm neck mass. Blood tests were unremarkable with normal inflammatory markers. Point of Care Ultrasound (POCUS) was done which showed a solid left sided neck mass with increased vascularity but no evidence of collection or abscess. Given the atypical presentation and rapid growth the patient was commenced on empirical antibiotics and was discussed with both tertiary ENT and Oncology teams. An MRI was performed which was indeterminate. Biopsy of the neck mass was positive for Ewing Sarcoma. This is a rare case of Ewing Sarcoma in an infant. POCUS can be used to rule out common pathology and abnormal lymph nodes, aiding in ongoing investigation and management in neck lumps. https://ojs.library.queensu.ca/index.php/pocus/article/view/15866POCUSpaediatric POCUSewing sarcomaneck massneck lump |
| spellingShingle | David McCreary Salmah Lashhab A Rare Cause of Neck Lump in an Infant POCUS Journal POCUS paediatric POCUS ewing sarcoma neck mass neck lump |
| title | A Rare Cause of Neck Lump in an Infant |
| title_full | A Rare Cause of Neck Lump in an Infant |
| title_fullStr | A Rare Cause of Neck Lump in an Infant |
| title_full_unstemmed | A Rare Cause of Neck Lump in an Infant |
| title_short | A Rare Cause of Neck Lump in an Infant |
| title_sort | rare cause of neck lump in an infant |
| topic | POCUS paediatric POCUS ewing sarcoma neck mass neck lump |
| url | https://ojs.library.queensu.ca/index.php/pocus/article/view/15866 |
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