From Benign to Malign in a Case of Cervical Adenopathy in a 17-Year-Old Adolescent: Diagnostic Traps

Table 1

Benign versus malign criteria for the reported case.

Criteria pleading for benign cervical mass	Criteria pleading for malign cervical mass
Anterior cervical location	The onset of the adenopathy 6 months before the infectious process
Streptococcus and Epstein-Barr coinfection context	Solbiati index below 2
Reduction of the adenopathy under antibiotic treatment	Intranodal calcification
The absence of any symptoms after resolving the acute process	No echogenic hilus
Normalisation of the inflammatory markers after the tonsillitis bout	Persistence of the adenopathy
Absence of any malignity signs at the first ENT control	Hypoechoic mass with hyperechoic echoes
Normal values of LDH and complete blood count	Round shape
Well-differentiated lymph node edges as revealed by ultrasound