Hammed Salah, Al Assaf Areeg, Hammed Ali, Saker Ziad, Dway Ali
Faculty of Medicine, Aleppo, Syria.
Almouwasat University Hospital, Otolaryngology-Head and Neck Surgery, Damascus, Syria.
Ann Med Surg (Lond). 2021 Mar 4;64:102210. doi: 10.1016/j.amsu.2021.102210. eCollection 2021 Apr.
Cystic hygroma is an aberrant proliferation of lymphatic vessels resulting from abnormal development of the lymphatic system.Cervical lymphangioma is an uncommon entity, usually reported in children, rarely in adult.
Our case presents a 65-year-old man with an extremely huge right-sided painless cervical swelling since 8 years with no symptoms.
Computer tomography (CT) showed a cystic lesion with thin walls of 150 × 100mm, medial to right sternocleidomastoid muscle (SCM).The lesion was completely resected along with the entire capsule.Post-operatively, the patient recovered well with no signs of any neurological dysfunction and he was discharged from hospital after 2 days.
The etiology in the adult population is controversial.Diagnosis in adults is considered to present a greater challenge than in children, and final diagnosis is usually based on postoperative histology.Cystic hygroma should be considered as a differential diagnosis of cervical masses in adults.
囊状水瘤是淋巴系统发育异常导致的淋巴管异常增殖。颈部淋巴管瘤是一种罕见的疾病，通常见于儿童，成人罕见。
我们的病例是一名65岁男性，8年来右侧颈部有一个极其巨大的无痛性肿块，无任何症状。
计算机断层扫描（CT）显示右侧胸锁乳突肌内侧有一个150×100mm的薄壁囊性病变。该病变连同完整包膜被完整切除。术后，患者恢复良好，无任何神经功能障碍迹象，术后2天出院。
成人患者的病因存在争议。成人的诊断被认为比儿童面临更大挑战，最终诊断通常基于术后组织学检查。囊状水瘤应被视为成人颈部肿块的鉴别诊断之一。
