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Clinical and Diagnostic Approach to a Pediatric Patient Presented with a Lateral Neck Mass

Received: 7 February 2022    Accepted: 22 March 2022    Published: 29 March 2022
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Abstract

Sternocleidomastoid muscle tumor of infancy, known as Fibromatosis colli is a relatively rare benign lesion that appears mainly unilaterally in the neck of an infant, with an incidence of 0.4% of births. It is one of the most common causes of congenital torticollis and more common in males. It appears in a newborn between the second and eighth weeks of life. It is usually unilateral (in the right sternocleidomastoid muscle) and occurrences on both sides of the neck are very rare. Over 95% of these tumors resolve spontaneously or with stretching exercises after 4-8 months of life. Diagnosis is based on patient history, clinical presentation and use of ultrasound. Invasive diagnostic methods such as a biopsy are not routinely used are reserved only in cases where there are diagnostic difficulties. Most cases have a good prognosis if therapy is started as early as possible and performed for as long as necessary. We report the case of a two-months-old boy, presenting a right lateral cervical mass. Clinical presentation, objective examination and ultrasound appearance strongly supported the diagnosis of Fibromatosis Colli. Conservative physical therapy with passive stretching exercises, massage and follow-up in dynamics was recommended.

Published in World Journal of Medical Case Reports (Volume 3, Issue 1)
DOI 10.11648/j.wjmcr.20220301.13
Page(s) 8-10
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Fibromatosis Colli, Neck Mass, Congenital, Sternocleidomastiod, Pediatric, Infants

References
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  • APA Style

    Inva Gjeta, Durim Sala, Ilirjana Bakalli, Ermela Ҫelaj, Vladimir Hoxha, et al. (2022). Clinical and Diagnostic Approach to a Pediatric Patient Presented with a Lateral Neck Mass. World Journal of Medical Case Reports, 3(1), 8-10. https://doi.org/10.11648/j.wjmcr.20220301.13

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    ACS Style

    Inva Gjeta; Durim Sala; Ilirjana Bakalli; Ermela Ҫelaj; Vladimir Hoxha, et al. Clinical and Diagnostic Approach to a Pediatric Patient Presented with a Lateral Neck Mass. World J. Med. Case Rep. 2022, 3(1), 8-10. doi: 10.11648/j.wjmcr.20220301.13

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    AMA Style

    Inva Gjeta, Durim Sala, Ilirjana Bakalli, Ermela Ҫelaj, Vladimir Hoxha, et al. Clinical and Diagnostic Approach to a Pediatric Patient Presented with a Lateral Neck Mass. World J Med Case Rep. 2022;3(1):8-10. doi: 10.11648/j.wjmcr.20220301.13

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  • @article{10.11648/j.wjmcr.20220301.13,
      author = {Inva Gjeta and Durim Sala and Ilirjana Bakalli and Ermela Ҫelaj and Vladimir Hoxha and Marsela Biqiku and Griselda Toci and Elmira Kola},
      title = {Clinical and Diagnostic Approach to a Pediatric Patient Presented with a Lateral Neck Mass},
      journal = {World Journal of Medical Case Reports},
      volume = {3},
      number = {1},
      pages = {8-10},
      doi = {10.11648/j.wjmcr.20220301.13},
      url = {https://doi.org/10.11648/j.wjmcr.20220301.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjmcr.20220301.13},
      abstract = {Sternocleidomastoid muscle tumor of infancy, known as Fibromatosis colli is a relatively rare benign lesion that appears mainly unilaterally in the neck of an infant, with an incidence of 0.4% of births. It is one of the most common causes of congenital torticollis and more common in males. It appears in a newborn between the second and eighth weeks of life. It is usually unilateral (in the right sternocleidomastoid muscle) and occurrences on both sides of the neck are very rare. Over 95% of these tumors resolve spontaneously or with stretching exercises after 4-8 months of life. Diagnosis is based on patient history, clinical presentation and use of ultrasound. Invasive diagnostic methods such as a biopsy are not routinely used are reserved only in cases where there are diagnostic difficulties. Most cases have a good prognosis if therapy is started as early as possible and performed for as long as necessary. We report the case of a two-months-old boy, presenting a right lateral cervical mass. Clinical presentation, objective examination and ultrasound appearance strongly supported the diagnosis of Fibromatosis Colli. Conservative physical therapy with passive stretching exercises, massage and follow-up in dynamics was recommended.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Clinical and Diagnostic Approach to a Pediatric Patient Presented with a Lateral Neck Mass
    AU  - Inva Gjeta
    AU  - Durim Sala
    AU  - Ilirjana Bakalli
    AU  - Ermela Ҫelaj
    AU  - Vladimir Hoxha
    AU  - Marsela Biqiku
    AU  - Griselda Toci
    AU  - Elmira Kola
    Y1  - 2022/03/29
    PY  - 2022
    N1  - https://doi.org/10.11648/j.wjmcr.20220301.13
    DO  - 10.11648/j.wjmcr.20220301.13
    T2  - World Journal of Medical Case Reports
    JF  - World Journal of Medical Case Reports
    JO  - World Journal of Medical Case Reports
    SP  - 8
    EP  - 10
    PB  - Science Publishing Group
    SN  - 2994-726X
    UR  - https://doi.org/10.11648/j.wjmcr.20220301.13
    AB  - Sternocleidomastoid muscle tumor of infancy, known as Fibromatosis colli is a relatively rare benign lesion that appears mainly unilaterally in the neck of an infant, with an incidence of 0.4% of births. It is one of the most common causes of congenital torticollis and more common in males. It appears in a newborn between the second and eighth weeks of life. It is usually unilateral (in the right sternocleidomastoid muscle) and occurrences on both sides of the neck are very rare. Over 95% of these tumors resolve spontaneously or with stretching exercises after 4-8 months of life. Diagnosis is based on patient history, clinical presentation and use of ultrasound. Invasive diagnostic methods such as a biopsy are not routinely used are reserved only in cases where there are diagnostic difficulties. Most cases have a good prognosis if therapy is started as early as possible and performed for as long as necessary. We report the case of a two-months-old boy, presenting a right lateral cervical mass. Clinical presentation, objective examination and ultrasound appearance strongly supported the diagnosis of Fibromatosis Colli. Conservative physical therapy with passive stretching exercises, massage and follow-up in dynamics was recommended.
    VL  - 3
    IS  - 1
    ER  - 

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Author Information
  • Service of Pediatric Intensive Care Unit, UHC “Mother Teresa”, Tirana, Albania

  • Service of Pediatric Intensive Care Unit, UHC “Mother Teresa”, Tirana, Albania

  • Service of Pediatric Intensive Care Unit, UHC “Mother Teresa”, Tirana, Albania

  • Service of Pediatric Intensive Care Unit, UHC “Mother Teresa”, Tirana, Albania

  • Service of Pediatric Intensive Care Unit, UHC “Mother Teresa”, Tirana, Albania

  • Service of Pediatric Intensive Care Unit, UHC “Mother Teresa”, Tirana, Albania

  • Service of Pediatric Intensive Care Unit, UHC “Mother Teresa”, Tirana, Albania

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