A unique case of the rapid onset of a large cystic hygroma in the adult.
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.
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ABSTRACT: Lymphangioma is a benign congenital malformation developing from the prenatal lymphatic vessels. Lymphangiomas are typically slow-growing and asymptomatic, but can occur throughout the body; there are few documented cases of either mediastinal or rapid growing lymphangiomas. Here, we report a case of a 27-year-old female who experienced sudden-onset nocturnal dyspnea 1 month after delivery. Ultrasound and computed tomography revealed a cystic tumor (diameter, 8 cm), which posteriorly displaced the superior vena cava and trachea. Ultrasound-guided aspiration was performed and the tumor disappeared on chest X-ray, only to return on subsequent chest X-ray performed the following day. Therefore, thoracoscopic excision of the mediastinal tumor was performed, and pathological diagnosis confirmed mediastinal cystic lymphangioma. In this report, we discuss the rare nature of this case and the treatment of lymphangioma in pregnancy.General Thoracic and Cardiovascular Surgery 09/2013; DOI:10.1007/s11748-013-0326-1
Article: Cervical Cystic Hygroma in an Adult[Show abstract] [Hide abstract]
ABSTRACT: Cystic hygromas/lymphangiomas are extremely rare malformations in adults. They are usually seen in infants and children under 2 years of age. En bloc resection is difficult due to the adhesive characteristics of the tumors. Inadequate surgical intervention often leads to recurrent disease. We report herein the case of a cystic hygroma/lymphangioma that presented as an uncommon mass on the cervical region in an adult, together with its histopathological, radiologic, and operative features.12/2014; 2014:209427. DOI:10.1155/2014/209427
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ABSTRACT: Lymphatic malformations are commonly recognized as relatively benign congenital masses affecting infants and children in the perinatal period. In children, these masses are most commonly found in the neck, and are occasionally seen in other areas of the body.PRESENTATION OF CASEA 58-year-old man presented with an acute axillary swelling measuring approximately 20 cm in length, 12 cm in AP width, and 7 cm in depth. Biopsy and cytology analysis demonstrated this mass to be a cystic hygroma of adult-onset.DISCUSSIONGiven its multi-loculated nature and size, it was surgically excised and one year later the patient is without evidence of recurrence.CONCLUSION As the incidence of adult-onset cystic hygroma is rare, the nature and reporting of their management is limited. This case report contributes to the body of literature which serves to elucidate the optimal management of this perinatal condition in adults.11/2014; 7. DOI:10.1016/j.ijscr.2014.11.017