Cystic hygroma

Cystic hygroma
Cystic hygroma
Classification and external resources

Santhi Vardhan Kothapalli. This picture was taken in 1989. He has undergone four major surgeries in Apollo Hospital, Chennai.
ICD-10 D18.1, Q87.8 (ILDS D18.140}
ICD-9 228.1
ICD-O: M9173/0
OMIM 257350
DiseasesDB 3374
MedlinePlus 000148
eMedicine ped/536
MeSH D018191
Cystic hygromas are classically found in the posterior triangle of the neck (purple).

A cystic hygroma is a congenital multiloculated lymphatic lesion that can arise anywhere, but is classically found in the left posterior triangle of the neck. This is the most common form of lymphangioma. It contains large cyst like cavities containing watery fluid. Microscopically cystic hygroma consists of multiple locules filled with lymph. In the depth the locules are quite big but they decrease in size towards the surface.

Cystic hygromas are benign, but can be disfiguring. It is a condition which affects children; very rarely it can present in adulthood [1].

It can be associated with a nuchal lymphangioma or a fetal hydrops [2]


It can be associated with Turner syndrome.[3]

A lethal version[4] of this condition is known as Cowchock Wapner Kurtz syndrome that in addition to cystic hygroma, includes lymphedema and cleft palate.[5]

See also

References

  1. ^ Gow L, Gulati R, Khan A, Mihaimeed F (2011). "Adult-onset cystic hygroma: a case report and review of management". Grand Rounds 11: 5–11. doi:10.1102/1470-5206.2011.0002. http://www.grandrounds-e-med.com/articles/gr110002.htm. 
  2. ^ Schwartz's principles of surgery: self assessment and board review, 8th edition, chapter 38, page 257; textbook p.1476
  3. ^ Alpman A, Cogulu O, Akgul M, et al. (March 2008). "Prenatally Diagnosed Turner Syndrome and Cystic Hygroma: Incidence and Reasons for Referrals". Fetal. Diagn. Ther. 25 (1): 58–61. doi:10.1159/000199869. PMID 19202339. http://content.karger.com/produktedb/produkte.asp?typ=fulltext&file=000199869. 
  4. ^ http://www.orpha.net/consor/www/cgi-bin/OC_Exp.php?lng=EN&Expert=2193
  5. ^ Syndromes By Bruno Bissonnette, Igor Luginbuehl, Bernard J. Dalens, Bruno Marciniak, http://books.google.com.au/books?id=uRR1MYa-w5wC&pg=PT235&lpg=PT235&dq=%22Cowchock+Wapner+Kurtz+syndrome%22&source=bl&ots=bEeJU7SsDU&sig=EzUmEHwBeRmM-atleoQxSc0fxuw&hl=en&ei=TR4zSr2iApPusQOOqdHYDg&sa=X&oi=book_result&ct=result&resnum=7#PPT235,M1

External links


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  • Lymphangioma — Classification and external resources ICD 10 D18 (ILDS D18.100) DiseasesDB 7665 eMedicine …   Wikipedia

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