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This article features the 1998 CONCACAF U-20 Tournament qualifying stage. Caribbean and Central American teams entered in separate tournaments. The North American teams Canada, Mexico and the United States automatically qualified, as well as main tournament hosts Guatemala (Central America) and Trinidad and Tobago (Caribbean). Twelve Caribbean teams entered, of which one qualified and four Central American teams entered, of which two qualified.
Caribbean
First round
The scores between the Netherlands Antilles and Dominica are unknown, but the Netherlands Antilles won.