Cystic lymphangioma in a 44-year-old woman
Moncef Sellami, Abdelmonem Ghorbel
The Pan African Medical Journal. 2017;26:33. doi:10.11604/pamj.2017.26.33.11579

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Cystic lymphangioma in a 44-year-old woman

Cite this: The Pan African Medical Journal. 2017;26:33. doi:10.11604/pamj.2017.26.33.11579

Received: 05/01/2017 - Accepted: 16/01/2017 - Published: 23/01/2017

Key words: Cystic lymphangioma, head and neck, surgical treatment

© Moncef Sellami et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/26/33/full

Corresponding author: Moncef Sellami, Department of Otorhinolaryngology-Head and Neck Surgery, Habib Bourguiba University Hospital, Sfax, Tunisia (sellami_moncef@yahoo.fr)


Cystic lymphangioma in a 44-year-old woman

Moncef Sellami1,&, Abdelmonem Ghorbel1

 

1Department of Otorhinolaryngology-Head and Neck Surgery, Habib Bourguiba University Hospital, Sfax, Tunisia

 

 

&Corresponding author
Moncef Sellami, Department of Otorhinolaryngology-Head and Neck Surgery, Habib Bourguiba University Hospital, Sfax, Tunisia

 

 

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Cystic lymphangioma is a congenital malformation of the lymphatic system.This condition is usually observed among children and very rarely among adults. The aetiology in adults is likely due to delayed proliferation of cell rests due to physical injury or infection.Clinically, cystic lymphangioma is asymptomatic in adults. Treatment is generally surgical, although other methods, such as aspiration, radiation and sclerotherapy have been used. We report a case of a 44-year-old woman presented with one-year history of slowly enlarging cervical swelling at the right side of the neck. The patient had no medical problems or history of trauma to the neck. Examination showed a 4 cm smooth, soft swelling of right supraclavicular fossa. Moreover, there was no erythema or tenderness on palpation. The general examination revealed normal findings. Computed tomography (CT) showed a supraclavicular cyst-like structure of 5󫢫 cm. The patient was operated through an external approach and a complete cyst excision was achieved without complications. Histopathological examination was consistent with the diagnosis of cystic lymphangioma. The patient made an uneventful recovery with no recurrence noted one year after the surgery.

 

 

Figure 1: A) right supraclavicular mass on examination (arrow); (B) CT scan of the neck, showing a well-defined supraclavicular cystic mass (arrow); (C) intra-operatively the mass appeared fluid filled and lobulated; (D) excision of the cystic mass

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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