Cystic Hygroma of The Chest Wall: A Rare Location

Abstract

Cystic hygroma, a congenital lymphatic malformation, is mostly localized to the cervical region and more rarely on the chest wall. Herein, we present a case with a cystic hygroma that was diagnosed immediately after birth and started mainly from the axillary region and extending to the anterior wall of the thorax, in the light of the literature.

Keywords

• Chest Wall
• Cystic Hygroma
• Lymphatic Malformation
• Newborn
• Septum

References

1. Fleischer, A.C., Manning, F.A., Jeanty, P., and Romero, R., (1996). Sonography in Obstetrics and Gynecology. 5th ed. London: Appleton – Lange, pp:393-4.
2. Kibar, A.E., Çakır, B.Ç. ve Tiryaki, T., (2005). Göğüs Duvarında Kistik Higroma: Nadir Bir Yerleşim Yeri. Türk Pediatri Arşivi, 40:241-3.
3. Parker, G., Harnsberger, H., and Smoker, W., (1991). The Anterior and Posterior Cervical Spaces. Semin US CT MR; 12:257- 273.
4. Charabi, B., Bretlau, P., Bille, M., and Holmelund, M., (2000). Cystic Hygroma of Head and Neck – a long-term follow-up of 44 Cases. Acta Otolaryngol, 543:248-50.
5. Zadvinskis, D.P, Benson, M.T., and Kerr, H.H., (1992). Congenital Malformations of the Cervicothoracic Lymphatic System: Embryology and Pathogenesis. Radio Graphics, 12:1175-89.
6. Fisher, R., Partington, A., and Dykes, E., (1996). Cystic Hygroma: Comparison Between Prenatal and Postnatal Diagnosis. J Pediatr Surg, 31:473-6.
7. Emery, P.J., Bailey, C.M., and Evans, J.N.G., (1984). Cystic Hygroma of the Head and Neck. J Laryngol Otol, 98:613-9.
8. Kennedy, T.L., Whitaker, M., and Pellitteri, P., (2001). Cystic hygroma/lympangioma: A Rational Approach to Management. Laryngoscope, 111:1929-37.

9. Brumfield, C.G., Wenstro, K.D., Davis, R.O., Owen, J., and Cosper, P., (1996). Second–trimester Cystic Hygroma: Prognosis of Septated and Nonseptated Lesions. Obstet Gynecol, 88:979-82.
10. Öztürk, A., Sırmatel, Ö. ve Gültekin, E., (2002). Dev Kistik Higroma: Prenatal Tanı Ve Bulgular. Tanısal ve Girişimsel Radyoloji, 8:407-409.
11. Molitch, H.I., Unger, E.C., Witte, C.L., and Van Sonnenberg, E., (1995). Percutaneous Sclerotherapy of Lymphangiomas. Radiology, 194(2):343–7.
12. Katsuno, S., Ezawa, S., and Minemura, T., (1999). Excision of Cervical Cystic Lymphangioma Using Injection of Hydrocolloid Dental Impression Material. A Technical Case Report. IntJ Oral Maxillofac Surg, 28(4):295–6.
13. Ricciardelli, E.J. and Richardson, M.A., (1991). Cervicofacial Cystic Hygroma: Patterns of Recurrence and Management of the Difficult Case. Archives of Otolaryngology–Head & Neck Surgery, 117(5):546-553.
14. Chen, C.P., Chern, S.R., and Chang, C.L., (2000). Prenatal Diagnosis and Genetic Analysis of X Chromosome Polysomy 49, XXXXY. Prenat Diagn, 20(9):754-757.
15. Kennedy, T.L., Whitaker, M., Pellitteri, P., and Wood, W.E., (2001). Cystic Hygroma/lymphangioma: a Rational Approach to Management. The Laryngoscope, 111(11):1929-1937.
16. Crosfeld, J.T., Weber, T.R., and Vane, D.W., (1982). One-stage Resection for Massive Cervico-Mediastinal Hygroma. Surgery 92(4):693–9.