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Oral Presentation - 63
Delayed Presentation of Cervical Lymphangioma: A Case Series
SMK Shehata*, M Elhiendy**
*Sections of Pediatric Surgery, Department of Surgery, Tanta University Hospital, Tanta, Egypt
**Section of Vascular Surgery, Department of Surgery, Tanta University Hospital, Tanta, Egypt
Background/ Purpose: Cystic cervical lymphangioma (CCL) is a congenital anomaly derived from lymphatic vessels with a progressive and painless growth that is rarely seen in adults. It is newly described as lymphatic malformation. Presentation after adulthood may represent a special entity of the anomaly. This study was carried out to present such case series of the rare special subgroup of CCL that presented after 18 years.
Patients & Methods: Ten cases of CCL in adults have been presented. This subgroup was collected in the last 8 years from Tanta University Hospital and other affiliated hospitals. Presentations, findings and management strategies were described.
Results: This study included 10 patients; 7 females and 3 males with the age ranged from 18 to 48 years. Six cases were left sided and four were right sided. All cases presented by a swelling of an average duration of one year except in one case that have resolving swelling at infancy but re-enlarged at age of 48 years. One case had extension to the superior mediastinum. One case was aspirated once before but recollected. All cases were successively and completely excised by surgery. Histopathological examinations of all specimens confirm the diagnosis of CCL. All cases are doing well along the follow up period (6 – 72) months. No recurrences have been reported.
Conclusions: Our series document the existence of this rare subgroup of adult CCL, despite that the whole number of reported cases of adult CCL in the English literature is less than 200 cases. Most of adult cases were unilocular, easily dissected and completely excised rather than those who presented in infancy. With good surgical excision the recurrence in adult CCL is nil. CCL should be considered in the DD list of unilateral painless cystic swelling in the lateral side of the neck.
Delayed Presentation of Cervical Lymphangioma: A Case Series
SMK Shehata*, M Elhiendy**
*Sections of Pediatric Surgery, Department of Surgery, Tanta University Hospital, Tanta, Egypt
**Section of Vascular Surgery, Department of Surgery, Tanta University Hospital, Tanta, Egypt
Background/ Purpose: Cystic cervical lymphangioma (CCL) is a congenital anomaly derived from lymphatic vessels with a progressive and painless growth that is rarely seen in adults. It is newly described as lymphatic malformation. Presentation after adulthood may represent a special entity of the anomaly. This study was carried out to present such case series of the rare special subgroup of CCL that presented after 18 years.
Patients & Methods: Ten cases of CCL in adults have been presented. This subgroup was collected in the last 8 years from Tanta University Hospital and other affiliated hospitals. Presentations, findings and management strategies were described.
Results: This study included 10 patients; 7 females and 3 males with the age ranged from 18 to 48 years. Six cases were left sided and four were right sided. All cases presented by a swelling of an average duration of one year except in one case that have resolving swelling at infancy but re-enlarged at age of 48 years. One case had extension to the superior mediastinum. One case was aspirated once before but recollected. All cases were successively and completely excised by surgery. Histopathological examinations of all specimens confirm the diagnosis of CCL. All cases are doing well along the follow up period (6 – 72) months. No recurrences have been reported.
Conclusions: Our series document the existence of this rare subgroup of adult CCL, despite that the whole number of reported cases of adult CCL in the English literature is less than 200 cases. Most of adult cases were unilocular, easily dissected and completely excised rather than those who presented in infancy. With good surgical excision the recurrence in adult CCL is nil. CCL should be considered in the DD list of unilateral painless cystic swelling in the lateral side of the neck.