Cervical Cystic Lymphangioma in an Adult Patient. A Case Report of a Rare Entity

Andrianos-Serafeim Tzortzis,Simeon Tsintzos,Vasileios P Maniatakos,George Tzortzis

doi:10.14712/18059694.2022.6

Andrianos-Serafeim Tzortzis, Simeon Tsintzos + Show 2 more

Open Access

https://doi.org/10.14712/18059694.2022.6

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Abstract

Cystic lymphangioma (CL) is a rare benign tumour that arises from the lymphatic vessels. The most common site of presentation is the posterior triangle of the neck. 90% of the lesions are diagnosed before the age of two years old and only a small number is reported in adults. In this paper, we describe the diagnostic and treatment approach of a cervical CL in an adult male.

Highlights

Lymphangioma of the neck is an uncommon benign tumour arising from the cervical lymphatic vessels
Diagnosis is based on previous medical history followed by ultrasonography (US) of the neck, magnetic resonance imaging (MRI), contrast-enhanced computed tomography (CECT), while fine needle aspiration cytology (FNAC) may be used to assist in the diagnosis (1, 3)
We present the diagnostic and treatment approach of a cervical cystic lymphangioma (CL) in an adult male

Summary

INTRODUCTION

Lymphangioma of the neck is an uncommon benign tumour arising from the cervical lymphatic vessels. We present the diagnostic and treatment approach of a cervical cystic lymphangioma (CL) in an adult male. MRI of the neck showed a well-circumscribed lobulated mass, 9.0 × 5.4 × 5.0 cm in size with fluid-like intensity, located under the sternocleidomastoid muscle. The patient underwent complete surgical excision of the lesion with dissection and preservation of the vital anatomic structures (Figure 2). A soft dark grey cystic mass 9.0 × 5.4 × 5.0 cm in size was removed in entirety from the left lateral neck (Figure 3). The post-operative period was uneventful, and the patient was discharged 5 days after the surgery He remains asymptomatic 1 year later with no signs of recurrence. Alternative treatment approaches are radiofrequency ablation, CO2 laser, electrocoagulation, cryotherapy and sclerotherapy (3, 8) These approaches can be used in combination with surgery in larger lesions (3). Long-term follow-up time may vary depending on the extent of the resection

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DISCUSSION

CONCLUSION