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Rare Yet Relevant: Adult Onset Cervical Lymphangioma - Our Experience and Comprehensive Review
Silky1, Charu Singh1, Ariba Zaidi1
1Dr. Ram Manohar Lohia Institute of Medical sciences, Lucknow, Uttar Pradesh India.
Summary
Adult cervical lymphangiomas, rare benign tumors of lymphatic vessels, were studied in 15 patients. Surgical excision proved effective, with no recurrences observed during follow-up, highlighting the need for a multidisciplinary management approach.
Area of Science:
- Vascular Surgery
- Pediatric Surgery
- Oncology
Background:
- Cervical lymphangiomas are rare lymphatic vessel anomalies, typically affecting children but occasionally adults.
- These benign tumors present with gradual, painless neck swelling and can impact adjacent structures.
Purpose of the Study:
- To investigate the clinical characteristics and management of cervical lymphangiomas specifically in adult patients.
- To evaluate the efficacy of surgical excision and short-term outcomes in this demographic.
Main Methods:
- Retrospective analysis of medical records from 15 adult patients undergoing cervical lymphangioma surgery between January 2021 and January 2023.
- Data collected included patient demographics, tumor location, size, presenting symptoms, surgical approach, and histopathological findings.
Main Results:
- The study included 15 adult patients (73.3% female) with unilateral cervical lymphangiomas adjacent to the carotid sheath.
- Tumor sizes varied (6-15 cm), with some patients experiencing dyspnea/dysphagia.
- All patients underwent successful surgical excision with uneventful postoperative courses and confirmed cystic lymphangioma histology. No recurrences were noted at 6-month follow-up.
Conclusions:
- Cervical lymphangiomas in adults, though rare, are manageable through surgical intervention.
- A multidisciplinary approach is crucial for accurate diagnosis, classification, and tailored treatment to optimize outcomes and minimize complications.
