Document Type : Case Report(s)
Authors
1 Department of General Surgery, Ibb University of Medical Sciences, Ibb, Yemen
2 Urology Research Center, Al-Thora General Hospital, Department of Urology, Ibb University of Medical Sciences, Ibb, Yemen
3 Department of Urology, Shiraz University of Medical Sciences, Shiraz, Iran
4 Department of Pathology, Faculty of Medicine, Taiz University of Medical Sciences, Taiz, Yemen
Abstract
Cystic hygroma (CH) is a congenital malformation of the lymphatic system commonly treated with surgical excision. The typical locations of this lesion are the cervico-facial and cervicothoracic region and other rare locations include axilla, mediastinum, and limbs. CH usually presents at birth as a painless mass, which concerns parents. It might also be detected as complications resulting from it, such as respiratory distress fever, a sudden increase in the size, feeding difficulty, and infection. To the best of our knowledge, there are a few cases reported in cervico-axillo- thoracic variants and we reported giant cervico-axillo-thoracic cystic hygroma, which is thoroughly treated with surgical excision.
A 45-days female, full-term delivery, infant presented with big right-side trunk mass, diagnosed through computed tomography scan as a CH involving the right lateral and posterior chest wall with extension to the axilla and right side of the neck, which was managed with surgical excision. After a 6-month of follow-up, no recurrent lesion masses were detected.
CH is a congenital malformation of the lymphatic system that can be treated in the pediatric population. The treatment option depends on size, age, and location of the lesion. In our case, complete surgical excision was the selective treatment for this lesion.
Keywords
How to cite this article:
Alwageeh S, Ahmed F, Al-naggar K, Askarpour, MR, Al-yousofy FA. Surgical management of giant cervico-axillo-thoracic cystic hygroma: a case report. Middle East J Cancer. 2022;13(2):377-82. doi: 10. 30476/mejc.2021.87027.1388.
- Song TB, Kim CH, Kim SM, Kim YH, Byun JS, Kim EK. Fetal axillary cystic hygroma detected by prenatal ultrasonography: a case report. J Korean Med Sci. 2002;17(3):400-2. doi: 10.3346/jkms.2002.17.3.400.
- Nistor C, Bluoss C, Mota N, Mota C, Davidescu M, Horvat T. Cervico-mediastinal lymphangioma. Pneumologia. 2009;58(2):108-12.
- Mirza B, Ijaz L, Saleem M, Sharif M, Sheikh A. Cystic hygroma: an overview. J Cutan Aesthet Surg. 2010;3(3):139-44. doi: 10.4103/0974-2077.74488.
- Kaur N, Gupta A, Singh N. Giant cystic hygroma of the neck with spontaneous rupture. J Indian Assoc Pediatr Surg. 2007;12(3):154. doi: 10.4103/0971-9261.34959.
- Atalar MH, Cetin A, Kelkit S, Buyukayhan D. Giant fetal axillo-thoracic cystic hygroma associated with ipsilateral foot anomalies. Pediatr Int. 2006;48(6):634-7. doi:10.1111/j.1442-200X.2006.02263.x.
- McCoy MC, Kuller JA, Chescheir NC, Coulson CC, Katz VL, Nakayama DK. Prenatal diagnosis and management of massive bilateral axillary cystic lymphangioma. Obstet Gynecol. 1995;85(5):853-6.doi: 10.1016/0029-7844(94)00312-2.
- Chen CP. Prenatal imaging of the fetal anterior chest wall cystic hygroma by magnetic resonance imaging. Prenat Diagn. 2003;23(13):1099-100.
- Langer JC, Fitzgerald PG, Desa D, Filly RA, Golbus MS, Adzick NS, et al. Cervical cystic hygroma in the fetus: clinical spectrum and outcome. J Pediatr Surg. 1990;25(1):58-62. doi: 10.1016/s0022-3468(05)80164-2.
- Temizkan O, Abike F, Ayvaci H, Demirag E, Görücü Y, Isik E. Fetal axillary cystic hygroma: a case report and review. Rare Tumors. 2011;3(4):e39. doi:10.4081/rt.2011.e39.
- Masood SN, Masood MF. Case report of fetal axillothoraco-abdominal cystic hygroma. Arch Gynecol Obstet. 2010;281(1):111-5. doi:10.1007/s00404-009-1068-2.
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