Abstract

Introduction: Cystic tumors of neck and axila are rare in adults. Some of them include metastatic nodes, branchial cysts, thyroglossal cysts and lymphangiomas, among others. Clinically speaking, lymphangiomas are slow-growing soft masses located in different spaces of the neck and axila.

Case Report: This paper reports the case of a 38-year-old woman presenting with cyst in left submandibular region, who consulted due to a cyst in the left side of for evolution without associated systemic symptoms. Although relapse is frequent, the patient was successfully treated with surgery.

This paper reports the case of a 65-year-old woman presenting with lymph-angioma, who consulted due to a right lateral mass in the right lateral wall of breast for 2 years of evolution without associated systemic symptoms. Although relapse is frequent, the patient was successfully treated with surgery, without evidence of recurrence at 12 months of follow-up.

Discussion: When cystic tumors of the neck occur in children, surgical urgencies may arise due to obstruction of the airway. However, lymphangioma in adults only produce contour deformity and rarely require urgent intervention, which allows for conservative management such as observation, repeated drainage or sclerotherapy that can be done using OK-432 (Picibanil). Nevertheless, surgery remains a good treatment option, but some complications may occur.

Conclusion: Different treatment options were reviewed, which led to conclude that surgical resection of lymphangiomas continues to be a good treatment for this complex neck lesion and axila.

Keywords: Adult; Lymphangioma, Cystic; Sclerotherapy; Picibanil.