Patients and methods. - The files of 12 children presenting with a sternocl
eidomastoid tumor of infancy at the Timone Children's Hospital in Marseille
between 1990 and 1999 were retrospectively studied All of them underwent p
hysical and ultrasonographic examination.
Results. - The mass was firm, within the lower two-thirds of the sternoclei
domastoid muscle. Ultrasonographic examination showed a soft tissue mass in
dependant of the great vessels. Biopsy revealed a benign fibrous lesion. El
even children were treated with stretching exercises and a surgical therapy
was performed for one in whom physical therapy was unsuccessful.
Conclusion. - The sternocleidomastoid tumor of infancy is a lateral neck ma
ss affecting children between the ages of two and four weeks. Most of the t
ime it spontaneously resolves in four to eight months. It may be associated
with congenital muscular torticollis and requires physical therapy. Surger
y should be reserved for children who have failed with this treatment. (C)
2000 Editions scientifiques et medicales Elsevier SAS.