Avtor/Urednik		Roić, Goran; Posarić, Vesna; Marušić, Ante; Borić, Igor; Vlahović, Tomislav; Vrliček, Kristina
Naslov		Unexpected diagnosis for preauricular swelling - two case reports
Prevedeni naslov		Nepričakovana diagnoza predušesne otekline - prikaz dveh primerov
Tip		članek
Vir		Radiol Oncol
Vol. in št.		Letnik 37, št. 3
Leto izdaje		2003
Obseg		str. 155-9
Jezik		eng
Abstrakt		Background. Preauricular swelling in children may be associated with a wide range of pathology. The history, clinical presentation and imaging features of such swellings may be non-specific. Sometimes it can be caused by underlying bone lesion. Case reports. We report about two children who were admitted to the hospital with swelling in the preauricular region and an unexpected final diagnosis. We found aneurismal bone cyst and central giant cell granuloma, respectively. Conclusions. Awareness of such lesions is important to avoid diagnostic errors and a potential mismanagement. These lesions are often difficult to differentiate on the basis of their radiographic features alone. A high-resolution US enables an accurate analysis of soft tissue and helps in the differential diagnosis. It also enables an accurate location of the lesion, which helps to avoid a wrong interpretation based on the clinical finding only. The CT scan performed afterwards provides necessary information for the assessment of location, structure and size of the lesion.
Izvleček		Izhodišča. Pri otrocih so lahko predušesne otekline povezane z najrazličnejšimi boleznimi. Anamneza, klinični znaki in slikovne preiskave so večkrat neznačilni. Pri načrtovanju preiskav moramo pomisliti tudi, da je vzrok takšne otekline sprememba na kosti. Prikaz primerov. Poročamo o dveh primerih bolnikov, ki so bili napoteni v našo bolnico zaradi predušesne otekline in pri katerih smo nepričakovano ugotovili aneurizmalno kostno cisto in velikocelični granulom. Zaključki. Pomembna je velika pozornost pri ugotavljanju vzroka takšnih predušesnih sprememb, da se izognemu napačni diagnozi in s tem tudi napačnemu zdravljenju. Rentgenološka preiskava večkrat ne zadošča. Ultrazvok z visoko ločljivostjo omogoča natančno preiskavo mehkih tkiv in pomaga pri diferencialni diagnozi ter omogoča natančno lokalizacijo bolezenske spremembe. Dodatna CT preiskava pa prikaže mesto, strukturo in velikost bolezenske spremembe.
Deskriptorji		BONE CYSTS, ANEURYSMAL GRANULOMA, GIANT CELL CHILD TOMOGRAPHY, X-RAY COMPUTED JAW DISEASES