A Century of Progress
in Head & Neck Cancer

July 26 – 30, 2014
Marriott Marquis
New York, NY
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Presentation: P0194
Topic: Poster Session
Type: Poster
Authors: Kong Mh, MD, MSurg, ORLHNS, Mazita A, MBBCh, BaO, Associate, Professor, Saraiza A B, MD, MSurg, ORLHNS, Primuharsa Putra S H A, MD, MSurg, ORLHNS, Professor
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Institution(s): National University of Malaysia Medical Centre/ KPJ Healthcare University College/Serdang Hospital
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Introduction: Cystic hygroma (lymphangioma) is a benign congenital malformation of the lymphatic system that occurs in infant or children younger than two years of age. Cystic hygroma is a rare presentation in adults.


Material and methods: A 30- years old man presented with painless left supraclavicular swelling for 2 weeks. Head and neck examination revealed non tender , cystic swelling left supraclavicular region. There were no other swellings noted. Other examinations were unremarkable.

Results: Ultrasound of the neck showed a cystic lesion seen in the left supraclavicular/ lower neck region. It was well defined and appeared to lie superficial to the neck muscles. There was movement of fluid on compression. It measured at least 13.6 x 53.2 mm in diameters. It was lied close to but separated from the vessels. Computed tomography of the neck showed a well-defined hypodense lesion seen in the left supraclavicular region. It measured 4.3 x 2 cm in diameter, was of fluid density and superficial to the left sternocleidomastoid muscle. The thyroid gland was normal. He underwent an excision under general anaesthesia on 19/1/2012. Intraoperatively, the cystic swelling appeared bluish and separated from the vessels. Post-operative recovery was uneventful. Histopathological examination reported as inflamed cystic hygroma . Specimen of cystic mass measured about 6.0 cm x 5.0 cm x 3.0 cm. Histologically, sections of the fibrocollagenous cyst wall had diffuse lymphocytic infiltration. The lining was formed by flattened endothelial cells.

Conclusion: Cystic hygromas are a rare differential diagnosis in adult neck masses and should be considered for the adult patients who have neck masses. Surgical excision is the treatment of choice.

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