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Tumor Discovery

CASE REPORT
Cystic hygroma in a young adult: A case report

and recent management

1
Sachin S. Kadam * and Tejaswini Kadam 2
1 Department of Surgical Oncology, Currae Cancer and Multispeciality Hospital, Mumbai,
Maharashtra, India
2 Department of Ophthalmology, Conwest and Jain Superspeciality Eye Hospital, Mumbai,
Maharashtra, India

Abstract
We are reporting a case of a 27-year-old young female who presented with right
side neck swelling without any associated obstructive symptoms and any other
grave signs and symptoms. She noticed a gradual increase in the size of the swelling
within a period of 2 years. After investigation and surgical excision, the swelling
was diagnosed as cystic hygroma. The root cause of the development of cervical
lymphangioma is the congenital malformation of the developing lymphatic system.
Cystic hygroma is benign in nature and the cause in adults is still unclear. The most
common site of origin is in head and neck region, and cystic hygroma accounts for
75% of lymphatic malformations. The most common presentation of cystic hygroma
is painless swelling with ill-defined lesion, most commonly located at the posterior
triangle of the neck. The common age group is between birth and 2 years of age,
with very rare presentation in adults. Hence, it is necessary to rule out all differential
diagnosis of cervical lymphangioma, which is presented with cystic neck swelling.
Complete surgical excision is the recommended standard treatment.
*Corresponding author:
Dr. Sachin S. Kadam
(kool_sachin555@yahoo.com) Keywords: Cystic hygroma; Young adult; Cervical lymphangioma; Congenital lymphatic
malformations
Citation: Kadam SS, Kadam T, 2022,
Cystic hygroma in a young adult:
A case report and recent management.
Tumor Discov, 1(2): 151.
https://doi.org/10.36922/td.v1i2.151 1. Introduction
Received: July 6, 2022 The incidence of cervical lymphangioma (cystic hygroma) in adults is very rare, and
Accepted: August 15, 2022
Published Online: August 30, 2022 very few cases have been reported in the literature [1,2] . Lymphangiomas are congenital
malformations of the developing lymphatic system, and these conditions are benign
Copyright: © 2022 Author(s).
This is an Open Access article in nature. The most common cause of lymphangioma development is an obstruction
distributed under the terms of the or sequestration of the developing lymphatic vessels [3,4] . The cause of cystic hygroma
Creative Commons Attribution in adults is not known; however, upper respiratory tract infection and trauma have
License, permitting distribution,
and reproduction in any medium, been reported in the literature [5,6] . Diagnosis of cystic hygroma in adults is difficult,
provided the original work is and the definitive diagnosis is purely based on the final histopathological examination.
properly cited. The most common location of cystic hygroma is at the posterior triangle of the neck,
Publisher’s Note: AccScience while the most common pathologies are inflammatory, metastatic adenopathies
Publishing remains neutral with or lymphoproliferative diseases. Under 2 years of age, the common pathologies of
regard to jurisdictional claims in [7]
published maps and institutional cystic hygroma are branchial cysts, hemangiomas, and lymphangiomas . They are
affiliations. characterized as slow-growing tumors, and chances of spontaneous regression are

Volume 1 Issue 2 (2022) 1 https://doi.org/10.36922/td.v1i2.151