FLEX February 2024

• Salivary gland pathology may also present as a cervical neck mass or possible lymphadenopathy. • Noninfectious causes of lymphadenopathy should also be considered in the case of subacute or chronic lymphadenopathy. • Based on strong clinical evidence and expert opinion, biopsy of lymphadenopathy should be undertaken if there is a suspicion for malignancy, subacute/chronic lymphadenopathy, worsening lymphadenopathy despite appropriate treatment, persistent lymph nodes larger than 2 cm, or multiple lymph nodes with concerning features on computed tomography, ultrasonography, or magnetic resonance imaging. (23)(24) • Based on clinical evidence and expert opinion, fi ne-needle aspiration should be considered as a diagnostic tool in patients requiring biopsy as long as they are able to tolerate the procedure under local anesthesia. (26)(27)

To view teaching slides that accompany this article, visit http://pedsinreview.aappublications.org/ content/39/9/433.supplemental.

References for this article are at http://pedsinreview.aappubli cations.org/content/39/9/433 .

Vol. 39 No. 9

441

SEPTEMBER 2018

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