Ingale Mayur, Rajeev Tharun, Suresh Anvitha, Babu Manu, Mahajan Gundappa
Otolaryngology-Head and Neck Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, IND.
Cureus. 2024 Oct 8;16(10):e71075. doi: 10.7759/cureus.71075. eCollection 2024 Oct.
Cervical lymphangioma is a congenital malformation of the lymphatic system that shows a predilection for the head and neck regions. They are most common in children between the ages of three and five and are rarely present in adults. While over 90% of lymphatic malformations are congenital, they can also manifest later due to factors such as trauma, infection, tumors, or medical procedures. They are often asymptomatic, but symptoms, if present, vary depending on the location of the tumor. Imaging techniques such as ultrasonography and computed tomography can aid in accurately mapping the extent and location of the lesion, thereby enhancing the effectiveness of the treatment. Complete surgical removal is regarded as the optimal approach to treatment. The following case presents a 35-year-old hypertensive female patient with swelling in the right side of the neck for the past seven months and diagnosed as a branchial cleft cyst with the help of ultrasonography and contrast-enhanced computed tomography of the neck. A complete surgical excision of the right submandibular gland was done, and a histopathological examination of the specimen revealed a cavernous lymphangioma. The unusual age group of presentation with no associated symptoms makes this case a rare find.
颈部淋巴管瘤是一种淋巴管系统的先天性畸形，好发于头颈部区域。它们在3至5岁的儿童中最为常见，在成人中很少出现。虽然超过90%的淋巴管畸形是先天性的，但由于创伤、感染、肿瘤或医疗程序等因素，它们也可能在后期出现。它们通常无症状，但如果有症状，会因肿瘤位置而异。超声和计算机断层扫描等成像技术有助于准确描绘病变的范围和位置，从而提高治疗效果。完整的手术切除被认为是最佳治疗方法。以下病例是一名35岁的高血压女性患者，右侧颈部肿胀七个月，借助颈部超声和增强计算机断层扫描诊断为鳃裂囊肿。对右侧下颌下腺进行了完整的手术切除，标本的组织病理学检查显示为海绵状淋巴管瘤。该病例出现的年龄组不寻常且无相关症状，实属罕见。
