Journal
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY MEDICINE AND PATHOLOGY
Volume 36, Issue 1, Pages 77-83Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.ajoms.2023.06.005
Keywords
Lymphangioma; Neck mass; Cystic hygromas; Lymphatic malformations
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This article presents an extremely rare case of an adult supraclavicular lymphangioma. The patient underwent surgical removal of a cystic mass in the supraclavicular region, which was confirmed to be a cavernous lymphangioma through histopathology. Although supraclavicular lymphangiomas in adulthood are uncommon, they should not be disregarded as a potential cause of supraclavicular masses.
Lymphangiomas are localized malformations of the lymphatic system resulting from abnormal development. The vast majority of lymphangiomas are detected within the second year of life, and the occurrence of lymphangiomas in adulthood is rare. Here, we present a case of a 56-year-old woman with a supraclavicular cavernous lymphangioma. The rationale for reporting this case is to highlight an extremely rare case of a lymphangioma of the supraclavicular region as late as the sixth decade of life and to discuss the diagnosis of and possible therapies for treating lymphangiomas. The case involved the surgical removal of a supraclavicular cystic mass en bloc. Histopathology confirmed the presence of a supraclavicular cavernous lymphangioma. Although supraclavicular cavernous lymphangiomas are exceedingly rare in adulthood, they should not be ruled out as a potential cause of a supraclavicular mass. In addition, when excising a mass from a patient at risk of pathological scarring, it is recommended that closure of the wound be conducted layered closure with well approximated skin edges under minimal tension.
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