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Two-Year-Old With a Persistent Fetal Vein Presenting as a Neck Mass
David T. Book, MD;
Valerie A. Flanary, MD
Arch Otolaryngol Head Neck Surg. 2001;127:206-208.
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INTRODUCTION
Benign lesions that present as neck masses are relatively common findings
in the pediatric otolaryngology practice. The differential diagnosis includes
persistent fetal structures, such as thyroglossal duct and branchial cleft
remnants, as well as vascular malformations, such as hemangiomas and arteriovenous
malformations. Persistent fetal vascular structures, however, are less common.
We describe a 2-year-old boy who presented with a mass in the anterior aspect
of his neck that was determined to be a persistent anomalous fetal vein. We
also discuss the embryology and development of the venous system in the neck,
as well as the options for the diagnosis and management of benign vascular
lesions that present as neck masses in the pediatric patient.
REPORT OF A CASE
A 24-month-old Hispanic boy was referred to the Otolaryngology Service
at the Children's Hospital of Wisconsin, Milwaukee, with the chief complaint
of a mass in the anterior aspect . . . [Full Text of this Article]
COMMENT
From the Department of Otolaryngology and Communication Sciences, Division
of Pediatric Otolaryngology, Children's Hospital of Wisconsin, Milwaukee.
Corresponding author and reprints: Valerie A. Flanary, MD, Department
of Otolaryngology and Communication Sciences, Division of Pediatric Otolaryngology,
Children's Hospital of Wisconsin, 9000 W Wisconsin Ave, Milwaukee, WI 53201
(e-mail: vflanary@mcw.edu).
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