TEDAVİYE YANIT VERMEYEN KABAKULAK: KİSTİK HİGROMA OLGUSU

Yıl 2010, Cilt: 1 Sayı: 4, - , 03.03.2015

Ahmet Kurtoğlu Murat Tutanç Hanifi Bayaroğulları Vefik Arıca Fatmagül Başarslan

Öz

Konjenital lenfatik malformasyon olan kistik higroma, çoğunlukla servikal bölge yerleşimli olup kistik lenfanjiyom olarak da adlandırılır. Oluşumu hakkında brankiyal yapıların inkomplet kapanması, lenf nodunda tükrük bezi inklüzyonu veya her iki durumun birlikte rol oynadığı iddia edilmektedir. Ayırıcı tanıda; tüberküloz lenfadenit, lipoma, kistik higroma, metastatik tümörler, lenfoma, süpüratif lenfadenitler, hemanjiom, lenfanjiom, laringosel ve ranulanın dikkate alınması gerekir. Tedavisi, cerrahi eksizyondur. Bu çalışmada kulak altında kitle şikâyeti ile kabakulak tedavisi gören fakat iyileşmeyince yanlış tanı aldığı fark edilip sevk edilen bir vakayı sunduk. Hastanın manyetik rezonans görüntülemesi yapıldı. Kistik higroma ile uyumlu kitle saptandı ve cerrahiye sevk edildi.

Anahtar Kelimeler

Kistik higroma, kabakulak, lenfatik malformasyon

MUMPS NOT RESPOND TO TREATMENT: A CASE OF CYSTIC HYGROMA

Öz

Cystic hygroma named as cystic lymphangioma is a congenital lymphatic malformation and usually located in the cervical location. They are clinically apparent in late childhood or early adulthood. Theories have been proposed regarding the incomplete obliteration of branchial structures or salivary gland inclusion in lymph nodes or together. The clinical differential diagnoses of these lesions include tuberculous lymphadenitis, lipoma, lymphoepithelial cysts, metastatic neoplasms, lymphomas, suppurative lymphadenitis, hemangioma, lyphangioma, laryngocele and ranula. The treatment is surgical excision. In this study, we present a case of incorrect diagnosis. Patient whose mass under the ear treated as mumps. But the patient did not respond to treatment. The patient was so referred. Magnetic resonance imaging of the patient were performed. Mass was compatible with cystic hygroma and was referred for surgery.

Anahtar Kelimeler

Cystic hygroma, mumps, lymphatic malformation

Kaynakça

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