A unique case of the rapid onset of a large cystic hygroma in the adult.

Department of Otolaryngology--Head and Neck Surgery, School of Medicine, University of California Davis, Sacramento, CA 95817, USA.
American Journal of Otolaryngology (Impact Factor: 1.08). 05/2001; 22(3):206-10. DOI: 10.1053/ajot.2001.23430
Source: PubMed

ABSTRACT Cystic hygroma is an uncommon lymphatic tumor seen rarely in adults, with less than 100 cases reported in the literature. The etiology and pathophysiology of this lesion is still in question. The majority of cystic hygromas occur in the head and neck, particularly in the posterior triangle. Although cystic hygromas tend to enlarge progressively over a span of weeks or months, relatively rapid enlargement over a span of days has been described. We present the unique case of an adult woman who experienced sudden onset of a large cystic hygroma in the neck without history of antecedent swelling, infection, or trauma. Successful surgical removal of the hygroma was performed. A brief review of the literature is presented.

  • [Show abstract] [Hide abstract]
    ABSTRACT: Analyzes the characteristics of rarefied, nonequilibrium-state plasmas in the internal column of a hollow cathode discharge (HCD). The analysis is based on the theory of plasma disintegration in a strong electric field (Dreicer 1959, 1960). It is demonstrated that this process has a crucial influence upon the forming of directed flux of electrons with energy values 20-30 eV at the exit of the hollow cathode. The obtained values significantly exceed the energy of thermal motion of electrons in the plasma disintegration zone. A new method is suggested of calculating electron density and electric field intensity in respect to the axis of the internal column in the channel model of the discharge. In addition, a method is presented of calculating the length of the internal column and the energy of the directed electron flux at the exit of the hollow cathode on the basis of HCD fundamental parameters
    IEEE Transactions on Plasma Science 07/2001; DOI:10.1109/27.928939
  • [Show abstract] [Hide abstract]
    ABSTRACT: Cavernous lymphangioma is a form of benign congenital abnormality grouped under lymphatic malformations, which can clinically manifest as a cystic tumor. Common areas are the neck and axillary region. Most cases are diagnosed in children under the age of 2, and occasionally the diagnosis is made in utero. We present the case of a 29-year-old primigravid woman with an axillary cavernous lymphangioma which rapidly increased in size during pregnancy, and describe the treatment plan in this unusual situation. The treatment of a large lymphangioma during pregnancy has to be well planned, considering the welfare of the mother and baby. Most of the current therapies have never been tested in pregnant or lactating women. We discuss the possible pathomechanisms for the growth of lymphangioma during pregnancy with the overproduction of cytokines such as vascular endothelial growth factor.
    Gynecologic and Obstetric Investigation 02/2005; 60(2):108-11. DOI:10.1159/000085584
  • [Show abstract] [Hide abstract]
    ABSTRACT: Tumour thickness and the status of resection margins are of prognostic significance in the treatment of oral cancer. In a single blind prospective study, 14 patients with biopsy proven oral squamous cell carcinoma had intraoral ultrasound imaging done preoperatively to measure tumour thickness, and intraoperatively to measure the deep surgical margin half way during resection. The cut surface was demonstrated on ultrasound by placing a metal, ultrasound-reflective, retractor into the surgical cut. The ultrasound measurements were compared to the subsequent histological measurements. Using the threshold of 5mm as indicator of margin clearance, there was agreement in 10 out of 14 cases between ultrasound and histology. Ultrasound detection of close surgical margins had a sensitivity of 83% and a specificity of 63%. For preoperative tumour thickness measurement, ultrasound imaging showed a high degree of correlation with histology (Pearson correlation coefficient=0.95, P<0.01). This original paper demonstrates that high resolution ultrasound imaging applied intraorally is a reliable tool in objectively assessing both the tumour thickness and the surgical margin clearance at the time of surgery.
    International Journal of Oral and Maxillofacial Surgery 04/2006; 35(4):324-31. DOI:10.1016/j.ijom.2005.07.019