• To review the imaging techniques for the evaluation of head lumps in children. • To describe image findings of lesions affecting the skull and the scalp in the pediatric population,
in order to make a correct differential diagnosis. • To presentthe most relevantcases of pediatric head lumps.
The palpation of a lump in the head of a child is a common reason to seek medical attention.
Those lumps include a wide spectrum of conditions,
both benign and malignant.
The clinical appearance is usually unspecific,
imaging plays a crucial role in narrowing diagnosis and guiding potential future interventions. Radiologists attending a child with a head lump must know the appearance of the most frequent benign lesions affecting the skull in order to avoid further unnecessary diagnostic...
Findings and procedure details
In the presence of a lump in the head of a child,
first of all,
we should try to narrow the differential diagnosis with relevant clinical data,
such as whether the lesion was present at birth or not,
if there is a history of trauma,
if it is stable orgrowing.
in the majority of cases,
the clinical history is confusing and unspecific. Imaging techniques: Radiographic images are usually unspecific and only lesions with bone involvement can be demonstrated. B-mode and color...
There is a wide spectrum of conditions,
both benign and malignant,
that can present as a head lump in the pediatric population.
Radiologists attending a child with a head lump must know the appearance of the most frequent benign lesions affecting the skull in order to avoid further unnecessary diagnostic procedures.
Ultrasound (US) is the first-line modality of choice.
In some cases,
further evaluation with CT or MRI should be done.
Sonography of pediatric superficial lumps and bumps: illustrative examples from head to toe.
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Lumps and Bumps on the Head in Children: Use of CT and MR Imaging in Solving the Clinical Diagnostic Dilemma.
2004; 24:1655–1674. Caffey J.
Caffey´s pediatric diagnostic imaging.
Philadelphia: Elsevier Saunders; 2013.
ISBN: 978-0-323-08176-4. Marjolein D,