year old male patient with a progressive
enlargement in the submandibular area,
slightly right of the midline. The lesion
reportedly becomes more prominent
occasionally and barely noticeable in some
days. The patient describes some
discomfort in the area.
examination revealed a soft tissue prominence in
the area, soft to palpation, not sensitive to
touch, easily compressible. No thrill is noted
over the lesion to suggest a high flow anomaly.
There are no skin changes over or near the
lesion. MRI examination (not shown here)
revealed a large cyst like signal abnormality in
the area. The clinical findings, history and
imaging findings all consistent with a
macrocystic lymphatic malformation (commonly
called "cystic hygroma").
lesion is asymptomatic entirely, a treatment may
not be needed. If treatment is needed, a
surgical intervention is commonly used. However,
is a leading alternative to surgery in this
condition, which is less invasive and
demonstrates similar success rates. There are
several different sclerosant agents available
for lymphatic malformation. In the U.S.A., the
most commonly used sclerosant agents probably
alcohol, sotrecol, ethamolin (????) or
patient, sclerotherapy is selected for therapy
and doxcycline was selected as a sclerosant
agent. The lesion becomes less noticeable after
the therapy (not shown here). No surgical
intervention was needed.