A difficult case of cystic hygroma

Authors

  • Rohit Srivastava Department of Surgery, Subharti Medical College, Meerut, Uttar Pradesh
  • Ramesh Chandra Awasthi Department of Surgery, Subharti Medical College, Meerut, Uttar Pradesh
  • Sandeep Kansal Department of Surgery, Subharti Medical College, Meerut, Uttar Pradesh
  • Atul Jain Department of Surgery, Subharti Medical College, Meerut, Uttar Pradesh

Keywords:

Cystic hygroma, Lymphatic malformations, Lymphangioma

Abstract

Cystic hygromas are uncommon congenital lymphatic malformations that commonly involve the lateral aspect of the neck. The treatment of choice of these swellings is surgical excision but at times, it becomes quite difficult to perform a complete removal because of the tendency of the tumor to infiltrate the surrounding structures. We encountered a similar case of cystic hygroma that was infiltrating the carotid sheath. We were able to achieve complete surgical excision without damaging the surrounding structures.

References

Perkins JA, Manning SC, Tempero RM, Cunningham MJ, Edmonds JL Jr, Hoffer FA, et al. Lymphatic malformations: Current cellular and clinical investigations. Otolaryngol Head Neck Surg. 2010;142(6):789-94.

Perkins JA, Manning SC, Tempero RM, Cunningham MJ, Edmonds JL Jr, Hoffer FA, et al. Lymphatic malformations: Review of current treatment. Otolaryngol Head Neck Surg. 2010;142(6):795-803, 803.e1.

Rowley H, Perez-Atayde AR, Burrows PE, Rahbar R. Management of a giant lymphatic malformation of the tongue. Arch Otolaryngol Head Neck Surg. 2002;128(2):190-4.

Hartl DM, Roger G, Denoyelle F, Nicollas R, Triglia JM, Garabedian EN. Extensive lymphangioma presenting with upper airway obstruction. Arch Otolaryngol Head Neck Surg. 2000;126(11):1378-82.

Mulliken JB, Glowacki J. Hemangiomas and vascular malformations in infants and children: A classification based on endothelial characteristics. Plast Reconstr Surg. 1982;69(3):412-22.

Fonkalsrud EW. Lymphatic disorders. In: Grosfeld JL, O’Neill JA Jr, Coran JA, Fonkalsrud EW, Caldamone AA, editors. Pediatric Surgery. 6th Edition. Chicago: Mosby Elsevier; 2006: 2137-45.

Manikoth P, Mangalore GP, Megha V. Axillary cystic hygroma. J Postgrad Med. 2004;50(3):215-6.

Sanlialp I, Karnak I, Tanyel FC, Senocak ME, Büyükpamukçu N. Sclerotherapy for lymphangioma in children. Int J Pediatr Otorhinolaryngol. 2003;67(7):795-800.

Woods D, Young JE, Filice R, Dobranowski J. Late-onset cystic hygromas: The role of CT. Can Assoc Radiol J. 1989;40(3):159-61.

Terezhalmy GT, Riley CK, Moore WS. Lymphangioma (lymphatic malformation). Quintessence Int. 2001;32(6):495.

Brunicardi FC, Anderson D, Billiar TR. Schwartz’s Principles of Surgery: Self Assessment and Board Review. 8th Edition. Chapter 38. New York: McGraw Hill Medical; 2007:257, 1476.

Alpman A, Cogulu O, Akgul M, Arikan EA, Durmaz B, Karaca E, et al. Prenatally diagnosed Turner syndrome and cystic hygroma: Incidence and reasons for referrals. Fetal Diagn Ther. 2009;25(1):58-61.

Carr RF, Ochs RH, Ritter DA, Kenny JD, Fridey JL, Ming PM. Fetal cystic hygroma and Turner’s syndrome. Am J Dis Child. 1986;140(6):580-3.

De Santis M, Calò GF, Trombini P, Romagnoli R. Percutaneous sclerosing treatment with ethanol of a large cystic lymphangioma of the neck in an adult. Radiol Med. 2003;105(1-2):127-30.

Ravitch MM, Rush BF Jr. Cystic hygroma. Pediatr Surg. 1969;1:273-9.

Downloads

Published

2016-12-10