2017 Sec 1 Green Book

VI.

Head and Neck Cockerill CC, Gross BC, Contag S, et al. Pediatric malignant salivary gland tumors: 60 year follow up. Int J Pediatr Otorhinolaryngol . 2016; 88:1-6. EBM level 4......................159-164 Summary : This article reviews the presentation, treatments, and outcomes of pediatric patients with salivary gland malignancies. A total of 56 patients were identified. The majority of patients presented with a painless mass without facial nerve weakness at a mean age of 14.1 years. Most of the tumors originated in the parotid gland (88%), with 5% in the submandibular gland and 7% in the minor salivary glands. The most common histologies in the major salivary glands were mucoepidermoid carcinoma and acinic cell carcinoma. Most were of low tumor grade, presenting at an early stage, and a majority were treated with total parotidectomy without adjuvant therapy. The rate of local recurrence was low (27%). Most patients with major salivary gland malignancies (85%) were alive with no evidence of disease. In patients with minor salivary gland malignancies, the recurrence rate was 75%, and the rate of distant metastasis and death was 50%. Dermody S, Walls A, Harley EH Jr. Pediatric thyroid cancer: an update from the SEER database 2007-2012. Int J Pediatr Otorhinolaryngol . 2016; 89:121-126. EBM level 4..............................................................................................................................165-170 Summary : This article describes a query of the SEER database to provide an update on the incidence, disease-specific survival, and treatment modalities of pediatric patients with thyroid cancer. A total of 1723 pediatric patients were identified with thyroid cancer between 2007-2012, giving an average age-adjusted rate of malignancy of 0.59 per 100,000 patients. Fifteen-year disease-specific survival is greater than 95% for the most common thyroid carcinoma subtypes, excluding medullary carcinoma, with appropriate treatment modalities (surgery with and without adjuvant radiation). Dremmen MH, Tekes A, Mueller S, et al. Lumps and bumps of the neck in children- neuroimaging of congenital and acquired lesions. J Neuroimaging . 2016; 26(6):562-580. EBM level 4....................................................................................................................171-189 Summary : This article reviews the imaging characteristics of the most common congenital and acquired neck masses in the pediatric population. The article covers congenital masses such as thyroglossal duct anomalies, branchial apparatus anomalies, laryngeal anomalies, and vascular anomalies, as well as acquired masses such as ranula, fibromatosis colli, sialadenitis, and lymphadenitis. Ultrasound, MRI, and CT scan can be used along with the patient’s age, clinical history, and examination results to provide an accurate diagnosis of pediatric neck masses.