Fine-needle aspiration cytology of lymphangioma of the parotid gland in an adult

Henke, A.; Cooley, Michele L.; Hughes, Jonathan H.; Timmerman, Timothy G.

doi:10.1002/1097-0339(200102)24:2<126::aid-dc1024>3.0.co;2-i

Cited by 20 publications

(6 citation statements)

References 21 publications

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“…Men and women are equally likely to be affected. Most cases are congenital and 90% present within the first two years of age [ 4 ]. It is rare for lymphangiomas to occur in an older population.…”

Section: Discussionmentioning

confidence: 99%

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Adult Cystic Lymphangioma of the Parotid Gland: An Unwonted Presentation

Kandhasamy

Raju

Sahoo

et al. 2018

Cureus

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Cystic lymphangioma of the parotid gland is an uncommon congenital lymphatic malformation. Its occurrence in patients of advanced age is infrequent. Patients usually present with painless soft swelling, often having experienced a long duration of symptoms. Lymphangioma among the salivary glands frequently involves the parotid gland. When evaluating cystic lesions of the parotid gland, cystic lymphangioma should be included in the differential diagnosis in addition to Warthin’s tumor, branchial cyst, cystic pleomorphic adenoma, and cystic mucoepidermoid tumor. Ultrasonography (USG) and magnetic resonance imaging (MRI) are useful in diagnosing cystic lymphangioma and help to identify the lesion. Fine needle aspiration cytology (FNAC) may show lymphocytes, salivary epithelial cells, and rarely, endothelial cells. FNAC is often inconclusive; this was the case in our investigation of the cystic lesion presented here of a 50-year-old woman who presented with a slowly growing swelling and a dull aching pain over the right parotid region for the past two years. On examination, there was a non-tender, cystic swelling of 5×5 cm in the right parotid region causing lifting the earlobe. There was no cervical lymphadenopathy or any facial nerve palsy associated with the swelling. USG of the parotid gland revealed a cystic lesion in the superficial lobe of the parotid. Results of FNAC performed on the lesion were inconclusive. The patient was posted for surgery and the cyst was excised. Final histopathology of the lesion gave the diagnosis of cystic lymphangioma of the parotid gland. The patient was kept under follow up for six months to watch for any local recurrence, but none occurred.

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Section: Discussionmentioning

confidence: 99%

“…MRI typically displays a thin-walled multicystic lesion hypointense in T1-weighed images and hyperintense in T2-weighed images [ 6 ]. Cytologic findings are characterized by hypocellular clear fluid with a number of lymphocytes at various stages, as well as benign parotid epithelium [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Adult Cystic Lymphangioma of the Parotid Gland: An Unwonted Presentation

Kandhasamy

Raju

Sahoo

et al. 2018

Cureus

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“…8 Since radiographic images are not always sufficient to make a definite diagnosis, fine-needle aspiration biopsy is often performed although it is not always diagnostic,it can be useful in the excluding certain diagnosis.Cytological examination shows a clear or yellowish hypocellular fluid containing a variable number of mature lymphocytes and no atypical cells. 16,17 Cystic lymphangioma does not usually degenerate into a malignant tumor; surgical excision is the treatment of choice for this kind of lesion. Failure to treat may result in secondary complications such as infection and haemorrhage.…”

Section: Introductionmentioning

confidence: 99%

Cystic Lymphangioma of Breast due to Filarial Infestation: A Rare Entity

Khanna¹

2017

MOJWH

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BackgroundCystic lymphangiomas are a congenital malformation of the lymphatic system resulting from sequestration of the lymphatic tissue, which no longer interacts normally with the surrounding lymphatic system. 1 More than 50% of these lesions are present at birth, 90% before the age of 2years. Most of the cystic lymphangioma occur in the neck (70%) or axilla (30%) followed by abdomen (10%). 2 Cystic lymphangiomas of the breast are extremely rare. They may be congenital malformations or acquired (secondary to trauma, infection or neoplasia) in the mammary gland. These lesions tend to infiltrate surrounding tissues and malignant degeneration is extremely rare. This case report concerning a 45year female with a rare cystic lymphangioma of the breast gave us the possibility to critically evaluate the diagnosis and treatment of this lesion. ProcedureA 45-year-old female presented in the surgery outpatient department with complains of increasing pain and heaviness in the right breast for 4months along with a gradual increase in size of the same breast. There was no history of nipple discharge or rapid increase in size of the swelling. There was no history suggestive of fever, trauma or any other swelling in the body. Family history was not contributary. On examination, left breast was normal. A 15x18cm diffuse swelling was present in the right breast involving all the quadrants and extending into right axilla and chest wall upto the clavicle. Swelling was soft with smooth surface, compressible and transilluminant. No axillary lymph nodes were palpable. Mammography showed high density lesion suggestive of fibroadenosis. High resolution USG was performed which showed multiple cysts of different sizes and shapes with separations within the cyst, largest cyst measured 2.9x1.4cm.MRI was planned to evaluate the extent of the lesion which revealed right breast lymphatic malformations with subcutaneous and cutaneous mammary congestion on right, multiple non mass enhancing areas in right breast extending into the right axilla and right chest wall upto the clavicle. The cyst spaces appeared hyperintense on both T1 and T2 weighted fat suppressed images, whereas the septae appeared hypointense. FNAC was performed under USG guidance and 10ml of yellowish fluid was aspirated. Cytology revealed lymphocytic preponderance which suggested a benign cystic lesion. The lymphatic malformation involving the right breast was excised through a periareolar incision. A separate incision was given in the axilla and the axillary mass was excised upto the axillary vein. The axillary mass showed enlarged axillary lymph nodes and multiple cystic swelling extending into the neck, over the axillary artery and brachial plexus. Histopathology of the specimen revealed multiple cystic lesions suggestive of Cystic lymphangiomas with filarial infiltration into the lymph nodes. Patient did well during the postoperative period. USG guided intralesional Bleomycin injection was given in the remnant supraclavicular region swelling. While keeping the tip of asp...

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“…3 Aspirated fluid is usually clear or straw colored. 4,7 Histologic analysis of this fluid typically shows mature lymphocytes with occasional red blood cells and endothelial cells. 7 Imaging is recommended for suspected lymphangiomas to rule out neurovascular involvement or intrathoracic extension.…”

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confidence: 99%

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2012

Arch Surg

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Fine-needle aspiration cytology of lymphangioma of the parotid gland in an adult

Cited by 20 publications

References 21 publications

Adult Cystic Lymphangioma of the Parotid Gland: An Unwonted Presentation

Adult Cystic Lymphangioma of the Parotid Gland: An Unwonted Presentation

Cystic Lymphangioma of Breast due to Filarial Infestation: A Rare Entity

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