Cystic lymphangioma in adult: a case report and a review of the literature

Colangeli, Walter; Facchini, Valerio; Kapitonov, Aleksandr; Zappalà, Marta; Bozza, F; Becelli, Roberto

doi:10.1093/jscr/rjaa179

Cited by 27 publications

(37 citation statements)

References 9 publications

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“…Role of Fine needle aspiration cytology (FNAC) in diagnostic workup of CH is criticised due to risk of infection and bleeding associated with the procedure. Walter Colangeli et al reported in their study that FNAC had a low diagnostic value and it did not modify the treatment approach [14,22]. In the described case, FNAC was performed as initial workup before the patient reported at our centre and hence it was not repeated due to its limited yield in diagnosis.…”

Section: Discussionmentioning

confidence: 86%

“…CH is rare in adult and very few cases have been reported in literature [4,5,7,[10][11][12][13][14][15][16][17][18][19][20][21]. Development of CH in adulthood is caused by delayed proliferation of cell rests with infection, trauma, or iatrogenic stimuli as being the predisposing factors.…”

Section: Discussionmentioning

confidence: 99%

“…In the described case, FNAC was performed as initial workup before the patient reported at our centre and hence it was not repeated due to its limited yield in diagnosis. Grossly CH may appear as unilocular or multilocular cystic lesions with varying size and is classified as microcystic (size of the cyst less than two cm), macrocystic (size of the cyst more than two cm) and mixed variety [14]. Microscopically CH on H&E staining appears as varying sized dilated lymphatic channels with chronic inflammatory cells in fibrous stroma [3,4,23].…”

Section: Discussionmentioning

confidence: 99%

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Adult-Onset Cystic Hygroma in Axilla: A Rare Case Report From India and Literature Review

Pandey¹,

Kumar²,

Maheshwari³

et al. 2021

IJMMR

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Background. Cystic hygroma (CH), occurs in 1/6000 live births and in 90% of cases develops in age less than 2 years old. They are mainly located in cervicofacial region. Adult-onset CH is very rare. Objective. The aim of this study is to review literature to discuss the clinical presentation, diagnosis, and treatment of CH in adults through a case report of unilocular CH in the axillary region in an adult male from India. Methods. A first case report of unilocular CH in axillary region in an adult male from India is being investigated. Results. Here we report a case of unilocular CH in the axillary region in a 49-year-old male with a 14x16x8 cm cystic swelling in left axilla with a history of aspiration failure. Contrast-enhanced MRI (CEMRI) showed well-defined thin walled, unilocular cystic lesion which appeared hyperintense on T2 & STIR and hypointense on T1W1 and showed thin peripheral rim of enhancement on post contrast images. The patient underwent surgical excision and the diagnosis of a pathological CH was established. His postoperative recovery was uneventful and had no evidence of recurrence. Conclusion. Due to rarity of adult-onset unilocular CH in axilla, its evaluation for prompt diagnosis and definitive treatment to prevent recurrence and complications is urgent. Furthermore, this is the first reported case from India which has been successfully managed at a peripheral hospital in Northeast-India and our report of this case contributes to the evidences supporting the role of CH in a differential diagnosis for masses in the adult axilla, especially in acute phase with no predisposing factors.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Adult-Onset Cystic Hygroma in Axilla: A Rare Case Report From India and Literature Review

Pandey¹,

Kumar²,

Maheshwari³

et al. 2021

IJMMR

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“…11 Histopathological assessment is necessary to confirm diagnosis in adults. 12 In the absence of dysphagia or breathing difficulty, a stepwise diagnostic progression would be reasonable. This may include ED referral to the primary physician or otolaryngology for more definitive imaging.…”

Section: Discussionmentioning

confidence: 99%

“…Previous cases suggest surgical excision as the preferred treatment modality in adults to mitigate tumor recurrence. 12,13 Decisions regarding treatment strategies will depend on location and associated symptoms as well. For instance, patients suffering from dysphagia, dyspnea, or other vital structures at risk often require surgery.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Presentation of a Lymphatic Malformation in an Adult: A Case Report

Gilmore

Kim

McDowell

2022

Clinical Practice and Cases in Emergency Medicine

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Introduction: Patients commonly present with neck masses to the Emergency Department. The acute presentation of such a mass can be alarming to patients and their families. In this report we discuss a rare etiology of an acutely presenting neck mass in an adult. Case Report: We present a 19-year-old patient with an acute neck mass. The mass developed abruptly soon after initiation of a new upper body strength-training regimen. The patient’s history was unremarkable for any trauma or constitutional symptoms. Physical examination revealed the mass, which was diagnosed as a lymphatic malformation by imaging. Surgical removal was successful with pathology confirming the diagnosis. Conclusion: Lymphatic malformations, although rare, may present in adulthood. The acute presentation of a new mass, coupled with a lack of concerning constitutional symptoms, should increase the diagnostic suspicion of a lymphatic malformation.

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Cervical lymphangioma in adults: A report of seven cases and review of the literature

Wang

Yang

Guo

et al. 2022

Laryngoscope Investig Oto

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Background Cervical lymphangioma usually occurs in children and is relatively rare in adults. The purpose of this study was to investigate the characteristics of cervical lymphangiomas in adults. Methods We retrospectively reviewed the medical records and analyzed clinical data obtained from seven adult patients who suffered from cervical lymphangioma from January 2008 to June 2021. Results Five (71.43%) of seven cases were asymptomatic and four (57.14%) lymphangiomas had a maximum diameter ≥ 10 cm. Each cervical lymphangioma was located adjacent to the carotid sheath. All the cervical lymphangiomas were completely surgically excised and were pathologically diagnosed as cystic lymphangioma. After a median 32 months follow‐up period, no recurrence was observed. Conclusion Cervical lymphangiomas from adults are often large asymptomatic masses infiltrating or adjacent to surrounding vital structures which brings many difficulties to the surgery, requiring an experienced surgeon to remove the mass.

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Cystic lymphangioma in adult: a case report and a review of the literature

Cited by 27 publications

References 9 publications

Adult-Onset Cystic Hygroma in Axilla: A Rare Case Report From India and Literature Review

Adult-Onset Cystic Hygroma in Axilla: A Rare Case Report From India and Literature Review

An Unusual Presentation of a Lymphatic Malformation in an Adult: A Case Report

Cervical lymphangioma in adults: A report of seven cases and review of the literature

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