Adult Cystic Hygroma– A Rare Entity

Amarendra Prasad, Srikanth Raju, Srinivasa Karthik, Gaje Venu, Mithun Mithun

Abstract


Objective: Lymphangiomas (Cystic Hygromas) are rare congenital malformations commonly seen in children. Its occurrence in adults is uncommon with very scarce reports in the literature. It mainly occurs in infants or children younger than 2 years of age. We report this case to emphasise the need to consider cystic hygroma in differential diagnosis of neck masses in adults. Case Reports: A 50-year-old female presented with a swelling over the antero– lateral aspect of neck of size 8´6 cm since last 4 years, which was not associated with pain, discharge, discolouration or sudden increase in size. Conclusion: The awareness of occurrence of cystic lymphangio main adults is important for its proper management, which includescomplete surgical removal, to prevent recurrence.


Full Text:

PDF

References


Bloom DC, Perkins JA, Manning SC. Management of lymphatic malformations. Curr Opin Otolaryngol Head Neck Surg 2004;12:500–4. PMid:15548907.

Naidu SI, McCalla MR. Lymphatic malformations of the head and neck in adults: a casereport and review of the literature. Ann Otol Rhinol Laryngol 2004;113:218–22.PMid:15053205.

Fliegelman LJ, Friedland D, Brandwein M, Rothschild M. Lymphatic malformation: predictive factors for recurrence. Otolaryngol Head Neck Surg 2000;123:706–10. doi:10.1067/mhn.2000.110963. PMid:11112962.

Sherman B, Kendall K. A unique case of the rapid onset of a large cystic hygroma in the adult. Am J 58 Vol. 3, No. 1, February 2015 Otolaryngol 2001;22:206–10. oi:10.1053/

ajot.2001.23430. PMid:11351291.

Schefter RP, Olsen KD, Gaffey TA. Cervical lymphangioma in the adult. Otolaryngol Head Neck Surg 1985;93:65–9. PMid:3920626.

Antoniades K, Kiziridou A, Psimopoulou M. Traumatic cervical cystic hygroma. Int J Oral Maxillofacial Surg 2000;29:47–8. doi:10.1034/j.1399-0020.2000.290111.x.

Jaroslav Kraus, Jan Plzák, Roberto Bruschini, Giuseppe

Renne, an Andrle, Mohssen Ansarin and Jan Betka, Cysticlymphangioma of the neck in adults: a report ofthree cases. Wiener Klin Wochenschr 2008;120:242–5.

Sinha M, Jane MJ, Watson SB. An unusual case of a large cysticswelling in thigh: Cysticlymphangioma in an adult. Eur J Plast Surg 2009;32:103–6.

Daver GB, Bakhshi GD, Patil AS, Shaikh AS, Mokashi NP, Mogal HD, et al. Cystic lymphangioma in an adult. Bombay Hospital J 2005;47:90–3.

Guner A, Aydin A, Celik F. Cystic hygromas in adults: Report oftwo cases. Med J Bakirkoy 2006;2:101–3.

Poyraz AS, Kilic D, Hatipoglu A, Ozulku M, Sar A, Bilezikci B. Cystic lymphangioma confined to the mediastinum in an adult. Jpn J Thorac Cardiovasc Surg 2004;52:567–9.

Gelal F, Yucel K, Tugsel E, Guney S.Axillary cystic lymphangiomaspresenting in pregnancy. Turk J Med Sci 1998;28:571–2.

Aneeshkumar MK, Kale S, Kabbani M, David VC. Cysticlymphangioma in adults: Can trauma be the trigger? Eur Arch Otorhinolaryngol 2005;262:335–7.

Morley SE, Ramesar KC, Macleod DA. Cystic hygroma in anadult: a case report. JR CollSurgEdinb 1999;44:57–8.

Kraus J, Plzak J, Bruschini R, Renne G, Andrle J, Ansarin M, et al. Cystic lymphangioma of the neck in adults: a report ofthree cases. Wien Klin Wochenschr 2008;120:242–5.

Shaffer K, Rosado-de-Christenson ML, Patz EF Jr, Young S, Farver CF. Thoracic lymphangioma in adults. CT and MRImaging features. Am J Roentgenol 1994;162:283–9.

Orford J, Barker A, Thonell S, King P, Murphy J. Bleomycin therapy for cystic hygroma. J Pediatr Surg 1995;30(9):1282–7.

Smith RJ, Burke DK, Sato Y, Poust RI, Kimura K, Bauman NM. OK-432 therapy for lymphangiomas. Arch Otolaryngol Head Neck Surg 1996;122(11):1195–9.




Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 License.

Print ISSN: 2347-6192

Online ISSN: 2347-6206