Thomsen J R, Koltai P J
Department of Surgery, Albany Medical College, New York 12208.
Ann Otol Rhinol Laryngol. 1989 Dec;98(12 Pt 1):955-9. doi: 10.1177/000348948909801207.
Sternomastoid tumor of infancy (SMTI) is the most common cause of neck mass in the perinatal period. We present seven children with this disorder, six studied prospectively. Ages at presentation ranged from 1 week to 4 weeks. Five had a history of birth trauma. Torticollis with facial asymmetry was seen in two. In six the diagnosis of SMTI was made clinically, and these patients were managed conservatively with massage and controlled stretching of the neck. Resolution of the neck mass, the torticollis, and the facial asymmetry occurred in all patients. Pathologic and radiographic findings are presented. We conclude that careful clinical assessment precludes the necessity of biopsy and emphasize the importance of conservative management of this transient problem.
婴儿胸锁乳突肌肿瘤（SMTI）是围产期颈部肿块最常见的原因。我们报告了7例患有这种疾病的儿童，其中6例进行了前瞻性研究。就诊时的年龄范围为1周龄至4周龄。5例有出生创伤史。2例出现斜颈伴面部不对称。6例通过临床诊断为SMTI，这些患者采用颈部按摩和控制性伸展进行保守治疗。所有患者的颈部肿块、斜颈和面部不对称均得到缓解。本文展示了病理和影像学检查结果。我们得出结论，仔细的临床评估排除了活检的必要性，并强调了对这个短暂问题进行保守治疗的重要性。
