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GIANT RECURRENT CYSTIC HYGROMA: A CASE REPORT
B S Kamath1, A S Chatterjee1, I Chandorkar1
1Seth V.C. Gandhi & M.A. Vora Municipal General Hospital, Rajawadi, Ghatkopar (E), Mumbai 400077, Maharashtra, India.
Journal of the West African College of Surgeons
|November 21, 2015
Summary
Recurrent cystic hygroma, a benign lymphatic malformation, can present challenges in surgical management. This case highlights the difficulties in treating a giant recurrent cystic hygroma in a young female patient.
Area of Science:
- Vascular Malformations
- Pediatric Surgery
- Head and Neck Surgery
Background:
- Cystic hygroma is a benign lymphatic malformation typically found in the cervico-facial area, originating from isolated lymphatic sacs.
- While often seen in children, cystic hygroma can affect individuals of any age and may recur after treatment.
- Recurrence can stem from incomplete surgical removal or inherent tumor traits.
Observation:
- A case of a giant recurrent cystic hygroma in the neck of a 14-year-old female is presented.
- The hygroma's large size, prior surgical adhesions, and proximity to critical anatomical structures made surgical intervention particularly complex.
Findings:
- The study details the challenging surgical management of a large, recurrent cystic hygroma in a pediatric patient.
- Specific tumor characteristics and the history of inadequate excision contributed to the recurrence and surgical difficulty.
Implications:
- This case underscores the importance of complete excision in managing cystic hygromas to prevent recurrence.
- It highlights the need for meticulous surgical planning and execution when dealing with large or recurrent lymphatic malformations, especially near vital structures.
- Further research into optimal surgical techniques and adjuvant therapies for recurrent cystic hygromas may be warranted.
