Shaver Timothy B, El Shatanofy Muhammad, Niermeyer Weston, Joshi Arjun
Otolaryngology - Head and Neck Surgery, George Washington University School of Medicine and Health Sciences, Washington, D.C., USA.
Division of Otolaryngology - Head and Neck Surgery, George Washington University School of Medicine and Health Sciences, Washington, D.C., USA.
Cureus. 2022 Dec 28;14(12):e33043. doi: 10.7759/cureus.33043. eCollection 2022 Dec.
Cervical lymphoceles are atypical lymphatic accumulations that develop within the subcutaneous tissue of the neck. While these accumulations have traditionally been removed via surgical excision, sclerotherapy has recently emerged as a reasonable option to prevent injury to surrounding vascular, neurologic, and pulmonary structures. The purpose of this case report is to describe the efficacy of ethanol sclerotherapy for a cervical lymphocele refractory to surgical embolization. We present the case of a 70-year-old male with a large cervical lymphocele that was initially treated with surgical embolization. The mass rapidly reaccumulated within two weeks and the patient subsequently underwent ethanol sclerotherapy with no evidence of re-accumulation after 18 months. This case highlights the utility of ethanol due to its better side-effect profile, widespread availability, and cheaper cost when compared to better-described agents.
颈部淋巴管瘤是在颈部皮下组织内形成的非典型淋巴液积聚。虽然这些积聚传统上是通过手术切除来消除的，但硬化疗法最近已成为一种合理的选择，可防止对周围血管、神经和肺部结构造成损伤。本病例报告的目的是描述乙醇硬化疗法对手术栓塞难治性颈部淋巴管瘤的疗效。我们报告一例70岁男性患者，患有巨大颈部淋巴管瘤，最初接受了手术栓塞治疗。肿块在两周内迅速重新积聚，随后患者接受了乙醇硬化疗法，18个月后未见重新积聚迹象。与其他已详细描述的药物相比，本病例突出了乙醇的效用，因其副作用较小、易于获取且成本较低。
