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81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

12.05. - 16.05.2010, Wiesbaden

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Congenital cystic neck mass: hygroma, haemangioma or ranula?

Meeting Abstract

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  • corresponding author Gabriella Kecskés - University of Szeged, Department of Otorhinolaryngology and Head-Neck Surgery, Szeged, Hungary
  • László Rovó - University of Szeged, Department of Otorhinolaryngology and Head-Neck Surgery, Szeged, Hungary
  • Szabolcs Tornyos - University of Szeged, Department of Pediatric Surgery, Szeged, Hungary
  • József Jóri - University of Szeged, Department of Otorhinolaryngology and Head-Neck Surgery, Szeged, Hungary

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 81. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Wiesbaden, 12.-16.05.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10hnod034

doi: 10.3205/10hnod034, urn:nbn:de:0183-10hnod0340

Published: April 22, 2010

© 2010 Kecskés et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Introduction: Vascular malformations are a well described group of congenital cystic neck lesions. Beside true neoplasms the smallest part of these cases are non neoplastic malformations or in-born errors of tissue development, often with an abnormal mixture of tissue indigenous to the region. Hamartoma may occur in any organ, it designates a focal overgrowth of mature normal cells and tissues at sites of identical cellular composition. Haemangiomas, lymphangiomas, arteriovenous, capillar and venous malformations belong to the hamartoma group. The mixed hamartoma containing different types of vascular cells, occurs seldom.

Method: The authors discuss the preoperative diagnostic possibilities, the differential diagnostic steps and the treatment concepts, through the case of a rare, congenital, mixed, prenatally diagnostized hamartoma, which led to early airway compromise.

Conclusion: The MRI is the key of the differencial diagnosis. The sclerotherapy could be a good alternative of the surgical treatment, but only in selected cases.