Wever D J, Heeg M, Mooyaart E L
Department of Orthopaedic Surgery, University Hospital Groningen, The Netherlands.
Clin Orthop Relat Res. 1997 May(338):215-8. doi: 10.1097/00003086-199705000-00028.
Cystic hygroma is a rare congenital malformation of the lymphatic system. The lesion is characterized by the formation of a cystic mass of variable size. Most lesions are present in infancy or early childhood and are found predominantly in the region of the head and neck. This report describes a case with an unusual location of the lesion: A 12-year-old boy with a cystic hygroma in the shoulder presented with shoulder pain and swelling. The diagnosis was made by magnetic resonance imaging and confirmed after histologic examination of the resected specimen. This uncommon localization and condition of cystic hygroma should be included in the differential diagnosis of shoulder pain in children.
囊状水瘤是一种罕见的先天性淋巴系统畸形。该病变的特征是形成大小不一的囊性肿块。大多数病变在婴儿期或儿童早期出现,主要见于头颈部区域。本报告描述了一例病变位置不寻常的病例:一名12岁男孩肩部患有囊状水瘤,表现为肩部疼痛和肿胀。通过磁共振成像做出诊断,并在对切除标本进行组织学检查后得到证实。这种囊状水瘤不常见的定位和情况应列入儿童肩部疼痛的鉴别诊断中。