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Spontaneous cervical lymphocoele: case reports and management decisions

  • F D L Walker (a1), F B MacGregor (a1) and I Ganly (a2)

Abstract

Introduction:

Neck lumps in young adults are not uncommon, and most represent benign, reactive lymphadenopathy. Cystic swellings are less common. Spontaneous cervical lymphocoeles are very rare, and present as fluctuant, asymptomatic, cystic swellings in the neck in otherwise fit individuals.

Case reports:

We report two healthy young women who presented with spontaneous cervical lymphocoeles and who were treated successfully with surgical excision. The timing of surgical intervention was influenced in both cases by their imminent wedding celebrations.

Conclusions:

Whilst sclerotherapy has been advocated by some authors, we found it unhelpful; however, surgery provided definitive treatment.

Copyright

Corresponding author

Address for correspondence: Ms Fiona MacGregor, Department of Otolaryngology, Gartnavel General Hospital, Glasgow G12 0YN, Scotland, UK. Fax: 0141 211 1671 E-mail: Fiona.MacGregor@ggc.scot.nhs.uk

References

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1Lecanu, JB, Gallas, D, Biacabe, B, Bonfils, P. Lymphocele of the thoracic duct presenting as a left supraclavicular mass: a case report and review of the literature. Auris Nasus Larynx 2001;28:275277
2Nouwen, J, Halimi, P, Hans, S, Laccourreye, O. Lymphocele after neck dissection. Ann Otol Rhinol Laryngol 2004;113:3942
3Hekiert, A, Newman, J, Sargent, R, Weinstein, G. Spontaneous cervical lymphocele. Head Neck 2007;29:7780
4Podbielski, FJ, Rodriguez, HE, Djohan, RS, Connolly, MM, Conlan, AA. Spontaneous right cervicothoracic lymphocoele. J Thorac Cardiovasc Surg 2003;125:736–7
5Kim, KH, Sung, MW, Roh, JL, Han, MH. Sclerotherapy for congenital lesions in the head and neck. Otolaryngol Head Neck Surg 2004;131:307–16
6Bloom, DC, Perkins, JA, Manning, SC. Management of lymphatic malformations. Curr Opin Otolaryngol Head Neck Surg 2004;12:500–4

Keywords

Spontaneous cervical lymphocoele: case reports and management decisions

  • F D L Walker (a1), F B MacGregor (a1) and I Ganly (a2)

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