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
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,
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
Moreover, there was no erythema or tenderness on palpation. The
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.
patient made an uneventful recovery with no recurrence noted one
year after the surgery.
: A) right
supraclavicular mass on examination (arrow); (B) CT scan of the neck,
showing a well-defined supraclavicular cystic mass (arrow); (C) intra-operatively
mass appeared fluid filled and lobulated; (D) excision of the cystic