Abstract
Introduction: Cervical cystic lymphangiomas are rare benign dysembryoplastic tumors of lymphatic origin. Its severity in the child is due on one hand to their fast evolution and the compression of the way aerodigestive and on the other hand, by the classical difficulty of their excision. The purpose of this work was to report a case of giant cervical cystic lymphangioma in a child to discuss the difficulties associated with its management in our context. Observation: This was a 3-year-old female child who was admitted to the ENT department of CHU “Luxembourg” for right lateral cervical swelling. The clinical examination had noted a large anterior-latero cervical swelling of soft, renitent, painless palpation, movable in relation to the superficial and deep plane, measuring about 20 cm × 17 cm, the skin was healthy. It wasn’t particularity to the rest of the physical examination. The diagnosis of giant cervical cystic lymphangioma was discussed. Thorough excision of the swelling by right lateral cervicotomy was performed. Anatomopathological examination of the operative specimen confirmed the diagnosis. The postoperative course was simple and the evolution was favorable. Conclusion: Cervical cystic lymphangiomas are rare. Their management involves surgery, with short and long-term post-operative outcomes are often excellent.
Highlights
Cervical cystic lymphangiomas are rare benign dysembryoplastic tumors of lymphatic origin
Its severity in the child is due on one hand to their fast evolution and the compression of the way aerodigestive and on the other hand, by the classical difficulty of their excision
The purpose of this work was to report a case of giant cervical cystic lymphangioma in a child to discuss the difficulties associated with its management in our context
Summary
Kystic lymphangiomas are rare benign dysembryoplastic tumors of lymphatic origin, which represent 2.6% to 5% of congenital cervical masses [1] They return, with neurofibromas and hemangiomas in the context of hamartomas. They usually occur during childhood with 60% of cases before the first year of life [2] [3] Of ubiquitous siege, their preferential localization is the posterior cervical triangle, with often mediastinal extension in 10% of cases [3]. Their preferential localization is the posterior cervical triangle, with often mediastinal extension in 10% of cases [3] The gravity of these tumoral formations in the child is due on one hand to their fast evolution and the compression of the way aerodigestive and on the other hand, by the classical difficulty of their excision [4] [5] [6]. The purpose of this work was to report a case of giant cervical cystic lymphangioma in a child to discuss the difficulties associated with its management in our context
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