Zystische Lymphangiome in der Halsregion bei Erwachsenen

Kraus, Jaroslav; Plzák, Jan; Bruschini, Roberto; Renne, Giuseppe; Andrle, J; Ansarin, Mohssen; Betka, Jan

doi:10.1007/s00508-008-0950-4

Cited by 23 publications

(27 citation statements)

References 17 publications

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“…4 In many cases the correct diagnosis is established only after histopathological investigation of the surgical specimen. 5 Although uncommon, there are few cases reported in adult patients [3][4][5][6] and so cystic hygroma should be considered in the differential diagnosis of lateral neck masses in adults. 6 Any neck swelling distorting the airway anatomy can present a challenge to the anaesthesiologist for securing the airway.…”

Section: Discussionmentioning

confidence: 99%

Huge adult cystic hygroma: anaesthesia challenge

Chabaria

2015

Int J Otorhinolaryngol Head Neck Surg

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Cystic hygroma is a rare lymphatic tumor, uncommonly seen in adults. We report a case of woman aged 55 years, who presented with a huge cystic swelling causing difficulty in neck movements. Huge neck swelling distorting the anatomy poses a challenge for securing the airway. The airway was secured with orotracheal intubation with help of a bougie after general anaesthesia, shifting the swelling off the midline by an experienced anaesthesiologist. Appropriate preoperative airway assessment, meticulous planning anticipating difficulty and simple manoeuvres, can ease intubation.

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Section: Discussionmentioning

confidence: 99%

Huge adult cystic hygroma: anaesthesia challenge

Chabaria

2015

Int J Otorhinolaryngol Head Neck Surg

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“…The effect of these lesions depends on their position and relationship to surrounding structures. Although the most common adult presentation is of a painless lump in an otherwise asymptomatic patient 6 , rapid enlargement over a short period of time has frequently been reported 8 and major structures such as the larynx, trachea, esophagus, brachial plexus and great vessels have known to be compressed or incorporated within the lesion 9 . In this case the lesion had doubled in size over a period of 4 months and had caused a restriction of neck movement; others have reported presentation with pain, hoarseness, dysphagia and breathlessness.…”

Section: Discussionmentioning

confidence: 99%

“…6,7 Diagnosis in adults is considered to present a greater challenge than in children and initial misdiagnosis, frequently as branchial cleft cysts as in the case reported here, is common. 6,8 Definitive diagnosis is usually based on post-operative histological findings.…”

Section: Introductionmentioning

confidence: 99%

Cystic Hygroma in Adults - A Rare Case Report

Mallick¹,

Khatua²,

Routray³

et al. 2014

jemds

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Cystic hygroma (lymphangioma) is a benign congenital malformation of the lymphatic system that occurs in infants and children younger than two years of age. It is rarely seen in adults. Occurrence in adults is uncommon, and only few cases of adult lymphangioma have been reported in the literature. Here we present a rare case of cystic hygroma in a 52 year old patient who presented with a swelling in the neck. Computed tomography revealed presence of cystic masses in the lesion. After total excision of the mass, histopathological diagnosis of cystic lymphangioma was made. After an uneventful postoperative period patient was discharged. No recurrence has occurred since then. This case report discusses the differential diagnoses and up-to-date management of cystic hygroma in adults. The objectives of this report are to discuss about the clinical presentation, diagnosis, pathologic findings and management of this malformation.

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“…[7] They can be divided into three types: (A) cystic hygroma, which has large lymphatic spaces; (B) cavernous lymphangioma, which has smaller spaces and develops from buds that would have formed terminal lymphatics; (C) capillary lymphangioma, which contains the smallest cystic spaces. [7] Cystic hygromas are the most common and usually present at birth as a painless swelling, and most lesions (90%) appear before the age of two years. Lymphangiomas occur exceedingly rarely in adults.…”

Section: Lymphangiomamentioning

confidence: 99%

“…Most are slow growing; however, sudden enlargement can occur following infection of or hemorrhage into the lesion, and may result in airway compression. [7] On USG an anechoic or mixed echogenicity mass with septae of variable thickness will be identified. [7] The margins of the mass and the presence of mediastinal extension are better delineated with CT or MRI.…”

Section: Lymphangiomamentioning

confidence: 99%

Imaging of cystic neck masses in adults

Handa¹

2017

Kulak Burun Bogaz Ihtis Derg

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Cystic lesions of the neck are usually diagnosed in infancy or childhood, but detection may be delayed until adulthood. The clinical manifestations combined with knowledge of the embryology and spatial anatomy of the head and neck often provide clues for a correct diagnosis. Ultrasound is frequently used initially to confirm the cystic nature of the lesion. Computed tomography and magnetic resonance imaging provide essential information on the cyst location that allows optimal preoperative planning.Keywords: Cystic lesion; imaging; neck.Cystic lesions of the neck are usually diagnosed in infancy or childhood, but detection may be delayed until adulthood. They often manifest as slow-growing masses and cause symptoms only after enlarging sufficiently or after infection. The clinical manifestations combined with knowledge of the embryology and spatial anatomy of the head and neck often provide clues for a correct diagnosis.[1] IMAGING MODALITYUltrasound is frequently used initially to confirm the cystic nature of the lesion.[2] Computed tomography (CT) and magnetic resonance imaging (MRI) provide essential information on the cyst location that allows optimal preoperative planning.[2] They are considered complementary, rather than competitive, modalities.[3] The advantages of MRI over CT in imaging other parts of body also apply to the neck, including better soft tissue resolution, lack of ionizing radiation and safer contrast agents.[3] By comparison CT examinations offer the advantages of superior assessment of osseous structures, shorter examination time, wider patient access and lower cost. ÖZBoynun kistik lezyonlarına genellikle süt çocukluğunda veya çocuklukta tanı konulur, fakat tespit erişkinliğe kadar gecikebilir. Baş ve boynun embriyoloji ve uzamsal anatomi bilgisi ile beraber klinik belirtiler çoğu zaman doğru bir tanı için ipuçları sağlar. Lezyonun kistik yapısını doğrulamak için ilk olarak sıklıkla ultrason kullanılır. Bilgisayarlı tomografi ve manyetik rezonans görüntüleme kist konumu hakkında gerekli bilgiyi sağlayarak ideal bir ameliyat öncesi planlamaya olanak verir.Anahtar Sözcükler: Kistik lezyon; görüntüleme; boyun.

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Zystische Lymphangiome in der Halsregion bei Erwachsenen

Cited by 23 publications

References 17 publications

Huge adult cystic hygroma: anaesthesia challenge

Huge adult cystic hygroma: anaesthesia challenge

Cystic Hygroma in Adults - A Rare Case Report

Imaging of cystic neck masses in adults

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