BACKGROUND: Fibromatosis colli, a common cause of congenital muscular
torticollis, should be differentiated from other neck masses in infant
s. Invasive diagnostic and therapeutic measures should be avoided. CAS
ES: Three infants under the age of 2 months presented with neck masses
-a clinical suspicion of malignancy, lymphadenopathy and teratoma. The
cytologic findings included dyshesive multinucleated skeletal muscle
fragments showing degenerative and atrophic changes within a backgroun
d of scattered reactive fibroblasts. CONCLUSION: Fine needle aspiratio
n biopsy is a safe and rapid method of providing a confirmatory diagno
sis of neck masses in infants.