Adult Cystic Hygroma

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Title:	Adult Cystic Hygroma
Other Titles:	成人囊性水瘤
Authors:	陳顯榮
Contributors:	園藝系
Keywords:	囊性水瘤成人,淋巴管瘤
Date:	2005-09
Issue Date:	2011-01-19 14:34:28 (UTC+8)
Abstract:	囊性水瘤是一種發生於兩歲前孩童的淋巴管異常，主要侵犯頭頸部，成人甚為罕見。本篇報告一例53歲女性因頸部腫塊，由開業醫以囊性甲狀腺腫轉介來。超音波檢查發現位於甲狀腺及頸動脈外側之囊性腫瘤，電腦斷層攝影此囊腫位於胸鎖乳突肌後側方並壓迫到內頸靜脈。手術時發現在胸鎖乳突肌下面有一含黃色液體之囊腫，壓迫並粘連到內頸靜脈，經小心剝離，將腫瘤完全切除。病理報告證實為囊性水瘤。經追蹤二年沒有復發。囊性水瘤在成人頸部囊腫，需要列入鑑別診斷。完全切除而不犧性重要構造。為治療之選擇。 Cystic hygroma is a congenital lymphatic malformation involving mainly the head and neck region in children before age 2 years old. It is seen rarely in adults. We report a 53 year-old female referred by a local physician as cystic goiter. Sonography showed a cystic mass lateral to thyroid and carotid artery. Computed tomography depicted a low density lesion posterior lateral to sternocleidomastoid muscle with compression of internal jugular vein. Complete excision was performed without recurrence. Cystic hygroma must be considered in the differential diagnosis of a cystic mass of the neck in adults. Complete excision without sacrifice of vital structure is the treatment of choice.
Relation:	北市醫學雜誌 2卷9期 P.829-832
Appears in Collections:	[Department of Horticulture] journal articles

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