Surgical management of adult-onset cystic hygroma in the axilla

Abstract

HighlightsA 58-year-old man presented with sudden-onset axillary swelling.Workup revealed the mass to be a cystic hygroma of adult-onset.Surgical resection was preferred over sclerotherapy.There is scant reporting of this pediatric mass in adults.

A Report of a Large Axillary Cystic Hygroma (a.k.a Lymphangioma) in a Newborn from a Tertiary Hospital in Northern Tanzania

“…The masses or lesions exert as solitary fluctuant, compressible, movable, and painless in characteristics as this was the case in our newborn baby, though sizes can vary [3]. Sometimes they can bleed and increase in size, and thus compress local organs or develop infection [4].…”

“…Rarely, it affects the inguinal, retroperitoneal, and thoracic regions [3]. The commonest site is the posterior triangle of the neck due to the embryological development of the lymphatics [4]. The masses or lesions exert as solitary fluctuant, compressible, movable, and painless in characteristics as this was the case in our newborn baby, though sizes can vary [3].…”

“…They are divided into two histological types based on the size of the abnormal lymph vessels and depth. Superficial ones are called lymphangioma circumscriptum, and cavernous lymphangioma or cystic hygroma are the deeper seated [4]. They are mostly found at birth (50% in affected newborns).…”

“…They are mostly found at birth (50% in affected newborns). They are usually multiloculated and tend to grow if not managed timely [4]. They can also coexist with other syndromes such as Noonan syndrome, Turner syndrome, fetal alcohol syndrome, or chromosomal aneuploidy [4,5].…”

Doxycycline Sclerotherapy of a Cervical Cystic Hygroma: A Caribbean Institution Experience

“…Macrocysts were defined as lesions with cystic contents of at least 2 cm 3 in volume, whereas microcysts contained lesions less than 2 cm 3 . Furthermore, this classification is also capable of predicting the response to sclerotherapy [ 5 ]. de Serres et al also proposed a classification system based on the anatomic location of the lymphatic malformation in relation to the hyoid.…”