Artikel
Congenital cystic neck mass: hygroma, haemangioma or ranula?
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Autoren
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Gabriella Kecskés
- University of Szeged, Department of Otorhinolaryngology and Head-Neck Surgery, Szeged, Hungary
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László Rovó
- University of Szeged, Department of Otorhinolaryngology and Head-Neck Surgery, Szeged, Hungary
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Szabolcs Tornyos
- University of Szeged, Department of Pediatric Surgery, Szeged, Hungary
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József Jóri
- University of Szeged, Department of Otorhinolaryngology and Head-Neck Surgery, Szeged, Hungary
| Veröffentlicht: | 22. April 2010 |
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Gliederung
Text
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.
