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Management of giant cystic lymphangioma in an infant
1Associate Professor, Department of Paediatric Surgery, Gandhi Medical College and Associated, Kamla Nehru and Hamidia Hospitals , Bhopal, Madhya Pradesh-462 001, India .
Insights
Giant cystic lymphangiomas are rare benign head and neck tumors. This case study details the successful surgical excision and uneventful recovery of a three-month-old infant with a large lymphangioma.
Area of Science:
- Pediatric Surgery
- Head and Neck Oncology
- Vascular Malformations
Background:
- Lymphangiomas are benign congenital vascular malformations.
- They commonly occur in the head and neck region.
- Giant lymphangiomas can lead to life-threatening complications.
Purpose of the Study:
- To report a case of giant cystic lymphangioma in an infant.
- To describe the diagnostic and surgical management.
- To highlight the favorable outcome after complete excision.
Main Methods:
- Clinical presentation of a three-month-old boy with a neck mass.
- Diagnostic confirmation using Ultrasonography (USG).
- Complete surgical excision of the giant cystic lymphangioma.
Main Results:
- Successful complete surgical removal of the lesion.
- No damage to adjacent vital structures during surgery.
- Uneventful postoperative recovery with no recurrence at two months.
Conclusions:
- Giant cystic lymphangiomas of the head and neck are treatable.
- Early diagnosis and complete surgical excision are crucial for favorable outcomes.
- Surgical management can achieve excellent cosmetic results and prevent recurrence.
Abstract:
Lymphangiomas are benign lesions with a marked predilection for the head and neck region. Giant lymphangiomas of head and neck may occur and they may present with life threatening complications. The author is presenting here, a three month-old boy who presented with a giant cystic lymphangioma on left side of neck, which extended to the head as well. His clinical diagnosis of a cystic lymphangioma was confirmed on a Ultrasonography (USG) examination. Complete surgical excision of the lesion was achieved, without damaging any vital structures. His post-operative recovery was uneventful. A follow-up at two months after his surgery showed a cosmetically acceptable scar and no recurrence was noted.
