Department of Oral and Maxillofacial Surgery, Guangdong Provincial People's Hospital & Guangdong Academy of Medical Sciences.
Department of Stomatology, Dongguan Liaobu Hospital, Dongguan, China.
J Craniofac Surg. 2022;33(8):e810-e812. doi: 10.1097/SCS.0000000000008692. Epub 2022 Sep 6.
Cystic hygroma is one type of the benign malformations and typically located in the neck, clavicle, and others, in children under the age of 5 years. However, the incidence of giant cervicomediastinal giant cystic hygroma is very rare, especially in adulthood. Such a location and age make its diagnosis difficult because they are usually asymptomatic. Complete surgical resection seems impossible while multiple sites are involved. Herein, we present a case of giant cervicomediastinal cystic hygroma, describing the clinical presentation, radiographic features, and OK-432 sclerotherapy. In conclusion, repeated OK-432 sclerotherapy may be an effective treatment option in giant cervicomediastinal cystic hygroma. Pay close attention to patient's symptoms and vital signs, adjusting the OK-432 dose throughout the process.
囊状水瘤是一种良性畸形，通常发生在 5 岁以下儿童的颈部、锁骨等部位。然而，巨大的颈纵隔巨大囊状水瘤的发病率非常罕见，尤其是在成年期。这种位置和年龄使得其诊断变得困难，因为它们通常无症状。由于涉及多个部位，完全手术切除似乎是不可能的。在此，我们报告一例巨大的颈纵隔囊状水瘤，描述其临床表现、影像学特征和 OK-432 硬化疗法。总之，重复 OK-432 硬化疗法可能是巨大颈纵隔囊状水瘤的有效治疗选择。密切关注患者的症状和生命体征，在整个过程中调整 OK-432 的剂量。
