Singh Charu, Zaidi Ariba
Dr. Ram Manohar Lohia Institute of Medical sciences, Lucknow, Uttar Pradesh India.
Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):4979-4985. doi: 10.1007/s12070-024-04869-4. Epub 2024 Jul 18.
Cervical lymphangiomas are anomalies that arise from lymphatic vessels, characterized by gradual and painless growth. While predominantly located in the neck, they may also manifest in the axilla, mediastinum, groin, and abdominal organs. Cervical lymphangioma usually occurs in children and is relatively rare in adults. The purpose of this study was to investigate the characteristics of cervical lymphangiomas in adults. We reviewed the medical records and analysed clinical data obtained from fifteen adult patients who suffered from cervical lymphangioma and were operated from January 2021 to January 2023. Out of 15 cases, 73.3% were females and 26.7% were males. All tumours were unilaterally located. Five patients had prior history of associated dyspnoea / dysphagia. All 15 cervical lymphangiomas (100%) were adjacent to the carotid sheath .Tumour size ranged from 6 cm to 15 cm, with the maximum diameter of ≥ 15 cm in two cases, between 6 cm and 10 cm in eight cases and less than 6 cm in five cases. Further, in this study all cervical lymphangiomas were surgically excised. Postoperative courses were uneventful, and histo-pathological examinations confirmed all cases to be cystic lymphangiomas. A 6 -month follow-up in all 15 cases showed no recurrences. Overall, this study underscores the importance of a multidisciplinary approach involving clinicians, radiologists, and surgeons in the management of adult cervical lymphangiomas, with an emphasis on accurate diagnosis, appropriate classification, and tailored treatment strategies to optimize patient outcomes and minimize complications.
颈部淋巴管瘤是起源于淋巴管的异常病变，其特点是生长缓慢且无痛。虽然主要位于颈部，但也可能出现在腋窝、纵隔、腹股沟和腹部器官。颈部淋巴管瘤通常发生于儿童，在成人中相对少见。本研究的目的是调查成人颈部淋巴管瘤的特征。我们回顾了15例2021年1月至2023年1月期间接受手术治疗的成人颈部淋巴管瘤患者的病历并分析了临床资料。15例患者中，73.3%为女性，26.7%为男性。所有肿瘤均为单侧发病。5例患者有既往呼吸困难/吞咽困难病史。所有15例颈部淋巴管瘤（100%）均毗邻颈动脉鞘。肿瘤大小从6cm至15cm不等，其中2例最大直径≥15cm，8例在6cm至10cm之间，5例小于6cm。此外，本研究中所有颈部淋巴管瘤均接受了手术切除。术后病程平稳，组织病理学检查证实所有病例均为囊性淋巴管瘤。15例患者均进行了6个月的随访，未见复发。总体而言，本研究强调了临床医生、放射科医生和外科医生多学科协作在成人颈部淋巴管瘤管理中的重要性，重点在于准确诊断、恰当分类和量身定制治疗策略，以优化患者预后并减少并发症发生。
