ADULT-ONSET CYSTIC HYGROMA IN AXILLA: A RARE CASE REPORT FROM INDIA AND LITERATURE REVIEW

Background. Cystic hygroma (CH), occurs in 1/6000 live births and in 90% of cases develops in age less than 2 years old. They are mainly located in cervicofacial region. Adult-onset CH is very rare. Objective. The aim of this study is to review literature to discuss the clinical presentation, diagnosis, and treatment of CH in adults through a case report of unilocular CH in the axillary region in an adult male from India. Methods. A first case report of unilocular CH in axillary region in an adult male from India is being investigated. Results. Here we report a case of unilocular CH in the axillary region in a 49-year-old male with a 14x16x8 cm cystic swelling in left axilla with a history of aspiration failure. Contrast-enhanced MRI (CEMRI) showed well-defined thin walled, unilocular cystic lesion which appeared hyperintense on T2 & STIR and hypointense on T1W1 and showed thin peripheral rim of enhancement on post contrast images. The patient underwent surgical excision and the diagnosis of a pathological CH was established. His postoperative recovery was uneventful and had no evidence of recurrence. Conclusion. Due to rarity of adult-onset unilocular CH in axilla, its evaluation for prompt diagnosis and definitive treatment to prevent recurrence and complications is urgent. Furthermore, this is the first reported case from India which has been successfully managed at a peripheral hospital in Northeast-India and our report of this case contributes to the evidences supporting the role of CH in a differential diagnosis for masses in the adult axilla, especially in acute phase with no predisposing factors.

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Key-Gaskell syndrome in Brazil: first case report

Arquivo Brasileiro de Medicina Veterinária e Zootecnia ◽

10.1590/1678-6518 ◽

2014 ◽

Vol 66 (4) ◽

pp. 1046-1050

Author(s):

B.B.J. Torres ◽

G.C. Martins ◽

P.E. Ferian ◽

B.C. Martins ◽

M.A. Rachid ◽

...

Keyword(s):

Case Report ◽

Poor Prognosis ◽

Neuronal Degeneration ◽

Clinical Signs ◽

Definitive Treatment ◽

Autonomic Ganglia ◽

Nervous Systems ◽

First Case ◽

The World

Feline dysautonomia is a devastating disease characterized by neuronal degeneration in autonomic ganglia that results in clinical signs related to dysfunction of the sympathetic and parasympathetic nervous systems. The cause is unknown and this disease has a poor prognosis and no definitive treatment. Most reports have been described in few countries around the world, but the prevalence may be underestimated in countries like Brazil. This study describes the progression and clinicopathological changes of dysautonomia in a 17-month-old female Brazilian shorthair cat.

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Adult-onset cystic hygroma: a case report and review of management

Grand Rounds ◽

10.1102/1470-5206.2011.0002 ◽

2011 ◽

Vol 11 (1) ◽

pp. 5-11 ◽

Cited By ~ 11

Author(s):

L. Gow ◽

R. Gulati ◽

A. Khan ◽

F. Mihaimeed

Keyword(s):

Case Report ◽

Cystic Hygroma ◽

Adult Onset

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Adult-onset cystic hygroma: A case report of rare entity

Indian Journal of Dentistry ◽

10.4103/0975-962x.179374 ◽

2016 ◽

Vol 7 (1) ◽

pp. 51 ◽

Cited By ~ 3

Author(s):

Sumit Bahl ◽

Vandana Shah ◽

Sonal Anchlia ◽

Siddharth Vyas

Keyword(s):

Case Report ◽

Cystic Hygroma ◽

Rare Entity ◽

Adult Onset

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Cystic Hygroma of Wrist

Journal of Nepal Paediatric Society ◽

10.3126/jnps.v32i2.5465 ◽

2012 ◽

Vol 32 (2) ◽

pp. 166-168

Author(s):

I Wani ◽

AR Bhat ◽

A Amin ◽

S Wani ◽

R Malik

Keyword(s):

Case Report ◽

Cystic Hygroma ◽

Left Wrist ◽

Congenital Lesion ◽

First Case ◽

Rare Site ◽

Thoracic And Abdominal

Cystic hygroma is the rare congenital lesion. This is a cystic variety of lymphangioma. Cystic hygroma arising outside of the cervicofacial, thoracic, and abdominal areas are extremely rare. Wrist is a very rare site for occurrence of cystic hygroma. Presentation depends on site of location of cystic hygroma. A case of cystic hygroma of wrist in a child is reported. This child presented with painless swelling of left wrist. Excision of cyst was done. This is first case report of literature reporting occurrence of cystic hygroma on wrist. J Nepal Paediatr Soc 2012;32(2):166-168 doi: http://dx.doi.org/10.3126/jnps.v32i2.5465

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Rare Case of Adult Onset Cervical Cystic Hygroma: A Case Report

Journal of Medical Science And clinical Research ◽

10.18535/jmscr/v6i8.183 ◽

2018 ◽

Vol 6 (8) ◽

Author(s):

Dr Saurabh Singh ◽

Keyword(s):

Case Report ◽

Rare Case ◽

Cystic Hygroma ◽

Adult Onset

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Chemoradiotherapy for Inoperable Carotid Body Leiomyosarcoma: A Case Report and Review of Literature

Frontiers in Oncology ◽

10.3389/fonc.2020.599403 ◽

2021 ◽

Vol 10 ◽

Author(s):

Cheng-Sheng Liu ◽

Jia-Ruey Tsai ◽

Yi-Tzu Kao ◽

Long-Sheng Lu ◽

Yin-Ju Chen ◽

...

Keyword(s):

Case Report ◽

Carotid Body ◽

Concurrent Chemoradiotherapy ◽

Neck Mass ◽

Definitive Treatment ◽

Tumor Control ◽

Rare Tumor ◽

First Case ◽

One Year ◽

Vascular Leiomyosarcoma

Vascular leiomyosarcoma is an extremely rare tumor and is associated with poor prognosis among leiomyosarcoma. Surgical resection remains the main treatment option. But outcome of definitive treatment with chemoradiotherapy in inoperable patients is not clear. Here, we report treatment and outcome of definitive chemoradiotherapy in a case of vascular leiomyosarcoma. A 64-year-old man with the initial presentation of pulsatile right neck mass was diagnosed with right carotid body leiomyosarcoma. He refused surgical intervention due to risk of carotid body injury and ischemic stroke. Successful tumor control was achieved with carboplatin-based concurrent chemoradiotherapy. Investigational liquid biopsy for circulating sarcoma cells was also performed to analyze drug sensitivity profile of this rare tumor. One year after treatment, the disease remained well controlled and there was no evidence of baroreflex failure or treatment-related late toxicities. To our best knowledge, this is the first case report of right carotid body leiomyosarcoma controlled with definitive concurrent chemoradiotherapy. The approach of personalized multi-modality treatment will be a focus of our future investigation.

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