Cystic hygroma in a young adult: A case report and recent management

S. Kadam, Tejaswini Kadam
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Abstract

We are reporting a case of a 27-year-old young female who presented with right side neck swelling without any associated obstructive symptoms and any other grave signs and symptoms. She noticed a gradual increase in the size of the swelling within a period of 2 years. After investigation and surgical excision, the swelling was diagnosed as cystic hygroma. The root cause of the development of cervical lymphangioma is the congenital malformation of the developing lymphatic system. Cystic hygroma is benign in nature and the cause in adults is still unclear. The most common site of origin is in head and neck region, and cystic hygroma accounts for 75% of lymphatic malformations. The most common presentation of cystic hygroma is painless swelling with ill-defined lesion, most commonly located at the posterior triangle of the neck. The common age group is between birth and 2 years of age, with very rare presentation in adults. Hence, it is necessary to rule out all differential diagnosis of cervical lymphangioma, which is presented with cystic neck swelling. Complete surgical excision is the recommended standard treatment.
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青年人囊性水肿1例报告及近期处理
我们报告一例27岁的年轻女性,她表现为右侧颈部肿胀,没有任何相关的阻塞性症状和任何其他严重体征和症状。她注意到在两年的时间里,肿胀的大小逐渐增大。经检查及手术切除后,诊断为囊性水肿。颈淋巴管瘤发生的根本原因是发育中的淋巴系统先天畸形。囊性水肿本质上是良性的,成人的病因尚不清楚。最常见的起源部位是头颈部,囊性湿肿占淋巴畸形的75%。囊性水肿最常见的表现是无痛性肿胀,病灶界限不清,最常见于颈部后三角。常见的年龄组是出生到2岁之间,在成人中非常罕见。因此,有必要排除所有颈部淋巴管瘤的鉴别诊断,其表现为颈部囊性肿胀。完全手术切除是推荐的标准治疗方法。
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