Cystic hygroma colli in adults: a report of two cases, one with atypical location

Year 2008, Volume: 18 Issue: 5, 326 - 329, 10.10.2008

Fikret Kasapoğlu Nadir Yıldırım

Abstract

We presented two adult cases of cystic hygroma colli CHC , one with atypical location. The first patient was a 23-year-old male with CHC located in the posterior cervical triangle, its common location in the neck. The latter was a 22-year-old male whose lesion occupied the submandibular region and extended to the skull base. The diagnosis was made by computed tomography, magnetic resonance imaging, and fine-needle aspiration biopsy, and confirmed by postoperative histopathologic examination. The lesions were surgically removed in both patients, and no recurrence was encountered during postoperative 12 and 14 months, respectively.

Keywords

Adult, head and neck neoplasms, lymphangioma, cystic/surgery, skull base neoplasms

Yetişkinlerde kistik higroma kolli: biri atipik yerleşimli olan iki olgu

Abstract

İki yetişkin hastada, birinde atipik yerleşimli olan kistik higroma kolli KHK sunuldu. Yirmi üç yaşında bir erkek olan ilk olguda lezyon, boyundaki tipik yer- leşim yeri olan posterior servikal üçgende idi. Diğer olgu 23 yaşında bir erkekti ve KHK submandibüler alanda yerleşimliydi ve oldukça ender görülen atipik kafa tabanı uzanımı gösteriyordu. Tanı aşamasında bilgisayarlı tomografi, manyetik rezonans görüntüle- me ve ince iğne aspirasyon biyopsisinden yararlanıl- dı. Kesin tanı ameliyat sonrası histopatolojik incele- me ile kondu. Olguların tedavisinde cerrahi eksizyon uygulandı. İki olgunun sırasıyla 12 ve 14 aylık takibi sırasında nüks bulgusuna rastlanmadı

Keywords

Erişkin, baş-boyun neoplazileri, lenfanjiyom, kistik/cerrahi, kafa tabanı neoplazileri

References

• Baer S, Davis J. Cystic hygroma presenting in adult- hood. J Laryngol Otol 1989;103:976-7.
• Kennedy TL. Cystic hygroma-lymphangioma: a rare and still unclear entity. Laryngoscope 1989;99(10 Pt 2 Suppl 49):1-10.
• Godin DA, Guarisco JL. Cystic hygromas of the head and neck. J La State Med Soc 1997;149:224-8.
• Mahboubi S, Potsic WP. Computed tomography of cervical cystic hygroma in the neck. Int J Pediatr Otorhinolaryngol 1989;18:47-51.
• Sichel JY, Udassin R, Gozal D, Koplewitz BZ, Dano I, Eliashar R. OK-432 therapy for cervical lymphangio- ma. Laryngoscope 2004;114:1805-9.
• Guarisco JL. Congenital head and neck masses in infants and children. Part II. Ear Nose Throat J 1991;70: 75-82.
• Çelenk F, Ceylan A, Köybaşıoğlu A, Gönül İI. Erişkin hastada servikal kistik lenfanjiom: olgu sunumu. KBB- Forum 2006;5:62-5.
• Güner A, Aydın A, Çelik F. Cystic hygromas in adults: reports of two cases. Bakırköy Tıp Dergisi 2006;2:101-3.
• Gidvani VK, Bhowmick SK. Midline posterior cervical cystic hygroma. South Med J 1999;92:340-3.
• Cohen SR, Thompson JW. Lymphangiomas of the larynx in infants and children. A survey of pediatric lymphangioma. Ann Otol Rhinol Laryngol Suppl 1986; 127:1-20.
• Gleason TJ, Yuh WT, Tali ET, Harris KG, Mueller DP. Traumatic cervical cystic lymphangioma in an adult. Ann Otol Rhinol Laryngol 1993;102:564-6.
• Antoniades K, Kiziridou A, Psimopoulou M. Traumatic cervical cystic hygroma. Int J Oral Maxillofac Surg 2000;29:47-8.
• Ricciardelli EJ, Richardson MA. Cervicofacial cystic hygroma. Patterns of recurrence and management of the difficult case. Arch Otolaryngol Head Neck Surg 1991;117:546-53.
• Schefter RP, Olsen KD, Gaffey TA. Cervical lymp- hangioma in the adult. Otolaryngol Head Neck Surg 1985;93:65-9.
• Aslan İ, Başerer N, Yenice H, Yazicioğlu E, Başaran B. Postpubertal parotis lenfanjiomları. KBB ve Baş Boyun Cerrahisi Dergisi 2000;8:226-9.
• Tibesar RJ, Rimell FL, Michel E. Cystic hygroma of the skull base. Arch Otolaryngol Head Neck Surg 1999;125:1390-3.
• Mathur NN, Rana I, Bothra R, Dhawan R, Kathuria G, Pradhan T. Bleomycin sclerotherapy in congenital lymphatic and vascular malformations of head and neck. Int J Pediatr Otorhinolaryngol 2005;69:75-80.
• Ozen IO, Moralioglu S, Karabulut R, Demirogullari B, Sonmez K, Turkyilmaz Z, et al. Surgical treatment of cervicofacial cystic hygromas in children. ORL J Otorhinolaryngol Relat Spec 2005;67:331-4.
• Ikarashi T, Inamura K, Kimura Y. Cystic lymphangioma and plunging ranula treated by OK-432 therapy: a report of two cases. Acta Otolaryngol Suppl 1994;511:196-9.
• Ogita S, Tsuto T, Nakamura K, Deguchi E, Iwai N. OK-432 therapy in 64 patients with lymphangioma. J Pediatr Surg 1994;29:784-5.
• Sanlialp I, Karnak I, Tanyel FC, Senocak ME, Buyukpamukcu N. Sclerotherapy for lymphangioma in children. Int J Pediatr Otorhinolaryngol 2003;67:795-800.
• Katsuno S, Ezawa S, Minemura T. Excision of cervical cystic lymphangioma using injection of hydrocolloid dental impression material. A technical case report. Int J Oral Maxillofac Surg 1999;28:295-6.
• Molitch HI, Unger EC, Witte CL, vanSonnenberg E. Percutaneous sclerotherapy of lymphangiomas. Radiology 1995;194:343-7.
• Kennedy TL, Whitaker M, Pellitteri P, Wood WE. Cystic hygroma/lymphangioma: a rational approach to management. Laryngoscope 2001;111:1929-37.
• Di Carlo I, Gayet B. Lymphangioma of the diaphragm (first case report). Surg Today 1996;26:199-202.