Cervicomediastinal cystic hygroma: Case report [Servikomediastinal kistik higroma]

Abstract

Lymphangioma is a rare benign tumor seen in first decad of the life. Cystic hygroma (CH) is a congenital abnormality of the lymphatic vessels, with an incidence of 1/6000. CH especially is located in the posterior cervical triangle (75%) head and neck region also that is located in the axilla, chest wall, shoulder, mediastinium, anterior wall of the abdomen, or inguinal region. Most of the cases are diagnosed at birth and cysts continue to expand slowly. The main pathology of the CH connections of the jugulary vein and lymphatic vesels are not consisting. The differential diagnosis CH includes lipoma, hemangioma, branchial cleft cyst, thyroglossal cyst, dermoid cyst, thimic cyst, laryngosel, thyroid mass, neuroblastoma, rhabdomysarcoma, lymphadenopathy meningoencephalocele and encephalocele. Treatment of this pathology is total excision but the lesions recurs in 10-25% of patients. The recurrence ratio changes by histologicaly type and localization of the lesion the. Another treatment alternative of the CH is intra lesional injection of the sclerosine material, steroid or bleomicine. In this study a 10 months-old-male infant who had cervicomediastinal cystic hygroma is presented in the high light of literature. Copyright © 2010 by Türkiye Klinikleri.