ISSN:
1437-9813
Keywords:
Paediatric
;
Cystic hygroma
;
Lymphangioma
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Cystic hygromas (benign tumours of the lymphatic system or lymphangiomas) occur predominantly in the head and neck region of infants and children. They can be grouped into three prognostic categories: (1) simple cystic hygroma; (2) cystic hygroma with oropharyngeal involvement; and (3) cystic hygroma with mediastinal involvement. At the Royal Children's Hospital, Melbourne, during a 16 year period (1973–1988) 47 of 122 (39%) patients admitted with a lymphangioma were classified as cervical cystic hygroma. Simple cystic hygromas, presenting as a lump, occurred in 33 children. In 28, uncomplicated excision was possible. Nine children presented at birth with cystic hygroma with oro-pharyngeal involvement, 5 of whom had severe respiratory distress. All 9 required multiple excisions; death occurred in 1. Cervicomediastinal cystic hygroma occurred in 5 children presenting between birth and 2 years. Mediastinal involvement was confirmed by chest X-ray. All children had thoracocervical excision without early complications; 2 had cervical recurrence.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00183974
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