PDF(Pubmed)
Abstract：
UNASSIGNED: Cystic hygromas are congenital lymphangiomas that arise from a developmental anomaly in the lymphatic system. Typically detected in early childhood, their incidence in adolescents and at the chest wall or axillary area is rare.
METHODS: We report two cases, a 14-year-old male child (Case I) and a 1-year-old male infant (Case II), who presented with swelling in unusual locations, the right axillary region and the right anterolateral chest wall respectively. Local examination findings were indicative of a cystic hygroma in the first case, while in the second case, characteristic transillumination was not seen due to a complication: hemorrhage within the cyst. The diagnoses were established after a correlation of the patient\'s history, and clinical findings with radiological investigations. Both underwent surgical intervention and had no complications. Histopathology of the post-operative specimens confirmed the diagnoses.
CONCLUSIONS: The diagnosis of cystic hygroma is made in the totality of thorough history taking, clinical examination, and radiological and histopathological investigations. Though most cases typically manifest before the age of two years and in the cervicofacial area, unusual locations and delayed presentation can occur. Surgical excision is a safe and effective treatment modality for these lesions.
CONCLUSIONS: Although a rare entity, cystic hygroma should be considered a possible differential diagnosis of any swelling in the pediatric population.
METHODS: We report two cases, a 14-year-old male child (Case I) and a 1-year-old male infant (Case II), who presented with swelling in unusual locations, the right axillary region and the right anterolateral chest wall respectively. Local examination findings were indicative of a cystic hygroma in the first case, while in the second case, characteristic transillumination was not seen due to a complication: hemorrhage within the cyst. The diagnoses were established after a correlation of the patient\'s history, and clinical findings with radiological investigations. Both underwent surgical intervention and had no complications. Histopathology of the post-operative specimens confirmed the diagnoses.
CONCLUSIONS: The diagnosis of cystic hygroma is made in the totality of thorough history taking, clinical examination, and radiological and histopathological investigations. Though most cases typically manifest before the age of two years and in the cervicofacial area, unusual locations and delayed presentation can occur. Surgical excision is a safe and effective treatment modality for these lesions.
CONCLUSIONS: Although a rare entity, cystic hygroma should be considered a possible differential diagnosis of any swelling in the pediatric population.
摘要：
囊性吸湿性瘤是由淋巴系统发育异常引起的先天性淋巴管瘤。通常在儿童早期发现，它们在青少年和胸壁或腋窝区域的发病率很少。
方法：我们报告2例，一名14岁男童（病例I）和一名1岁男婴（病例II），在不寻常的地方出现肿胀，分别位于右腋窝区和右前外侧胸壁。局部检查结果提示第一例为囊性水瘤，而在第二种情况下，由于并发症：囊肿内出血，未观察到特征性的透照。诊断是在与患者病史相关后确定的，和放射学检查的临床发现。均接受手术干预，无并发症。术后标本的组织病理学证实了诊断。
结论：囊性水瘤的诊断是在全面了解病史的基础上进行的，临床检查,放射学和组织病理学研究。虽然大多数病例通常在两岁之前出现，但在颈面部区域，可能会发生异常位置和延迟演示。对于这些病变，手术切除是一种安全有效的治疗方式。
结论：虽然是一种罕见的实体，囊性水瘤应被视为儿科人群中任何肿胀的可能鉴别诊断。
方法：我们报告2例，一名14岁男童（病例I）和一名1岁男婴（病例II），在不寻常的地方出现肿胀，分别位于右腋窝区和右前外侧胸壁。局部检查结果提示第一例为囊性水瘤，而在第二种情况下，由于并发症：囊肿内出血，未观察到特征性的透照。诊断是在与患者病史相关后确定的，和放射学检查的临床发现。均接受手术干预，无并发症。术后标本的组织病理学证实了诊断。
结论：囊性水瘤的诊断是在全面了解病史的基础上进行的，临床检查,放射学和组织病理学研究。虽然大多数病例通常在两岁之前出现，但在颈面部区域，可能会发生异常位置和延迟演示。对于这些病变，手术切除是一种安全有效的治疗方式。
结论：虽然是一种罕见的实体，囊性水瘤应被视为儿科人群中任何肿胀的可能鉴别诊断。
