Ill-defined Margins in Surgery — 4yo Child | Pediatric Surgery | SMLE Q#16419

SMLE Question #16419

Surgery Pediatric Surgery

Objective: OBJ-1758

Last updated: February 2026
A 4-year-old boy has a slowly enlarging, painless left lateral neck mass for 6 months. It is soft, compressible, non-tender, about 10 cm, with ill-defined margins. Ultrasound shows a multiloculated cystic lesion without solid components, consistent with a macrocystic lymphatic malformation. He has no respiratory distress or dysphagia. What is the most appropriate management?

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