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Abstract
Introduction: Cystic lymphangiomas are dysembryopathies of the lymphoganglion system, responsible for a tumor syndrome by more or less exuberant angio-lymphatic proliferation, but histologically benign. We report a case of giant cervical cystic lymphangioma in an infant with postnatal diagnosis in order to discuss the particularities related to its management. Observation: This was a 7-month-old male child, with no significant pathological history, seen in consultation for a right laterocervical tumefaction observed from birth, evolving gradually. The swelling measures approximately 16x10 cm, painless, of soft consistency, covered with healthy skin, mobile in relation to the superficial plane. The diagnostic hypothesis of a cystic lymphangioma has been raised. Cervical ultrasound and cervico-thoracic scanner revealed a right cervical mass with a liquid component sitting between the jugular vein and the trachea on which it exerts a mass effect. The child underwent complete excision of the tumor under general anesthesia. The pathological examination performed on the surgical specimen concluded to a cystic lymphangioma. The postoperative course was simple. The evolution was favorable after a decline of 4 years. Conclusion: Cystic lymphangioma is a rare benign lymphatic malformation, but potentially serious in its evolutionary characteristics.
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