Pediatric emergency medicine trisk 0946 0946

FIGURE 48.1 Evaluation of the child with a neck mass. a Malignancy: nontender, >3 cm
diameter (and firm), enlarging mass of several weeks’ duration, ulceration, location deep to
superficial fascia or fixed to tissue, supraclavicular mass, systemic lymphadenopathy and
bruising, superior vena cava syndrome.

After obtaining a thorough account of the mass itself, it is critical to assess the
involvement of other organ systems. Constitutional symptoms of fever, fatigue,