Spontaneous cervical lymphocoele: case reports and management decisions.
F D L Walker1, F B Macgregor, I Ganly
1Department of Otolaryngology, Gartnavel General Hospital, Glasgow, Scotland, UK.
The Journal of Laryngology and Otology
|August 20, 2009
Summary
Spontaneous cervical lymphocoeles are rare cystic neck lumps. Surgical excision effectively treated these rare neck swellings in two young women, offering a definitive solution.
Area of Science:
- Medicine
- Surgery
- Otolaryngology
Background:
- Neck lumps are common in young adults, typically benign reactive lymphadenopathy.
- Cystic neck swellings are less frequent, with spontaneous cervical lymphocoeles being exceptionally rare.
- Spontaneous cervical lymphocoeles present as asymptomatic, fluctuant cystic neck masses in healthy individuals.
Observation:
- This report details two cases of healthy young women with spontaneous cervical lymphocoeles.
- Surgical timing was influenced by upcoming personal events for both patients.
- Both patients underwent successful surgical excision for their condition.
Findings:
- Sclerotherapy was attempted but proved unhelpful in managing the lymphocoeles.
- Surgical excision provided a definitive and successful treatment for both cases.
- The study highlights surgery as the preferred intervention for spontaneous cervical lymphocoeles.
Implications:
- This study underscores the efficacy of surgical excision for spontaneous cervical lymphocoeles.
- It suggests that surgery is a more reliable treatment than sclerotherapy for this rare condition.
- The findings are valuable for clinicians managing rare cystic neck masses in young adults.