Alebie Hailemariam Kassaye, Hailu Mezigebu Yaregal, Biru Melat Teklegiorgis, Faliso Abebe Borsamo, Gebere Tekalign Legese
Department of Otolaryngology-Head and Neck Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Department of Otolaryngology-Head and Neck Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Int J Surg Case Rep. 2024 Dec;125:110595. doi: 10.1016/j.ijscr.2024.110595. Epub 2024 Nov 12.
Cystic hygromas are benign lesions arising due to an abnormality of lymphoid development and rarely present in adults.
We present a case of a 25-year-old girl who presented with a complaint of left lateral neck swelling of 06 years duration which was painless and increased in size progressively associated with this she had some difficulty turning her neck to the left side of a year duration. On physical examination, it was noticed that she had a 15 ∗ 12 cm soft, non-tender mass over the left lateral neck from the sub-mandibular area to the supraclavicular area, anterior and posterior to the sternocleidomastoid muscle. She was investigated with Complete blood count, neck ultrasound, and head and neck CT scan with contrast. With a diagnosed Cystic hygroma she was managed through elective surgical excision and the histopathology report suggestive of lymphatic malformation. The work has been reported in line with the SCARE criteria.
Cystic hygroma is a lymphatic malformation that occurs as a result of sequestration or obstruction of developing lymph vessels. It can either be congenital or acquired which commonly occur in the head and neck region. Symptoms and presentation consist of swelling and cystic growths, impact on adjacent organs and structures, and potential pain or discomfort.
Cystic hygroma in adults is a rare condition with variable presentation. The management of these lesions is complex and multidisciplinary and depends on expertise and experience. The mainstay of treatment is complete excision.
囊状水瘤是由于淋巴发育异常引起的良性病变，在成人中很少见。
我们报告一例25岁女性病例，患者主诉左侧颈部肿胀6年，无痛，且肿块大小逐渐增大，同时伴有颈部向左侧转动困难1年。体格检查发现，在其左侧颈部，从下颌下区域至锁骨上区域，胸锁乳突肌前后，有一个15×12厘米的柔软、无压痛肿块。对其进行了全血细胞计数、颈部超声以及头颈增强CT扫描检查。诊断为囊状水瘤后，对其进行了择期手术切除，组织病理学报告提示为淋巴管畸形。本病例报告按照SCARE标准撰写。
囊状水瘤是一种淋巴管畸形，是由于发育中的淋巴管隔离或阻塞所致。它可以是先天性的，也可以是后天性的，常见于头颈部区域。症状和表现包括肿胀和囊性肿物、对相邻器官和结构的影响以及潜在的疼痛或不适。
成人囊状水瘤是一种罕见疾病，表现多样。这些病变的管理复杂且需要多学科协作，取决于专业知识和经验。治疗的主要方法是完整切除。
