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CASE REPORTS

Rare Neck Mass in Adult Age: Cystic Hygroma
Erişkin Yaşta Nadir Görülen Boyun Kitlesi: Kistik Higroma
Received Date : 27 Dec 2019
Accepted Date : 23 Mar 2020
Available Online : 20 Jul 2020
Doi: 10.24179/kbbbbc.2019-73066 - Makale Dili: TR
KBB ve BBC Dergisi. 2020;28(2):152-5
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
The most common lymphatic malformations are cystic hygroma. Lymphangiomas are a congenital anomaly of the lymphatic system and are frequently seen in the first decade of life. Although abnormal development of the lymphatic system is often responsible for its etiology, it has been reported that in some cases, acquired factors (trauma, infection, iatrogenic, neoplastic) are effective. In this case report, a 45-year-old male patient presented to our outpatient clinic with swelling on the left side of the neck. In the patient's history, it was learned that the swelling had been present gradually for two to three years, there was no history of infection, trauma or surgical intervention in the swelling area, and there was no additional feature other than smoking and alcohol use. A preliminary diagnosis of cystic hygroma was considered in further examination and examinations. Surgical excised specimen was consistent with cystic hygroma. The diagnosis and treatment of our patient was discussed in the light of literature.
ÖZET
Lenfatik malformasyonlar içinde en sık karşılaşılanı kistik higromadır. Lenfanjiyomlar lenfatik sistemin doğuştan bir anomalisi olup, sıklıkla hayatın 1. dekadında görülür. Etiyolojisinde sıklıkla lenfatik sistemin anormal gelişmesi sorumlu olsa da bazı hastalarda sonradan kazanılmış etmenlerin (travma, enfeksiyon, iyatrojenik, neoplastik) etkili olduğu bildirilmiştir. Bu çalışmada, 45 yaşındaki erkek olgu, boyun sol tarafında şişlik şikâyetiyle polikliniğimize başvurdu. Olgunun anamnezinde şişliğin 2, 3 yıldır var olduğu, yavaş yavaş büyüdüğü, şişliğin olduğu bölgede herhangi bir enfeksiyon öyküsü, travma veya cerrahi müdahele olmadığı, sigara ve alkol kullanımı dışında ek bir özellik olmadığı öğrenildi. Olgunun yapılan ileri tetkik ve incelemelerinde kistik higroma ön tanısı düşünüldü. Cerrahi olarak eksize edilen spesmenin patoloji sonuçlarında kistik higroma ile uyumlu geldi. Olgumuzun tanı ve tedavisi literatür eşliğinde tartışıldı.
KAYNAKLAR
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