Sažetak sa skupa
Rare case of adult lymphangioma and vocal cord paralysis
Mladen Vuković
; OB Vinkovci, Zvonarska 57, 32100 Vinkovci, Hrvatska
Filip Bacan
; KBC Sestre milosrdnice, Vinogradska 29, 10000 Zagreb, Hrvatska
Darko Solter
; KBC Sestre milosrdnice, Vinogradska 29, 10000 Zagreb, Hrvatska
Alan Pegan
; KBC Sestre milosrdnice, Vinogradska 29, 10000 Zagreb, Hrvatska
Davor Vagić
; KBC Sestre milosrdnice, Vinogradska 29, 10000 Zagreb, Hrvatska
Filip Matovinović
; KBC Sestre milosrdnice, Vinogradska 29, 10000 Zagreb, Hrvatska
Sažetak
Introduction: Lymphangiomas represent rare, benign, congenital malformations of the lymphatic system, most
frequently localized in the head and neck region. Their etiology remains unknown, and the underlying
etiopathogenesis has not yet been sufficiently clarified. Based on morphological characteristics, they have been
classified into macrocystic, microcystic, and combined types. Surgical excision remains the primary modality
of treatment, while alternative approaches such as laser ablation, cryotherapy, radiotherapy, and sclerotherapy
may provide symptomatic relief in selected cases. Materials and methods: We report the case of a 27-year-old
female patient presenting with right vocal cord paralysis and a palpable mass on the right side of the neck. Due
to inconclusive ultrasound findings, magnetic resonance imaging (MRI) was performed, revealing cystic
hygroma, measuring 81 × 42 × 50 mm. The lesion extended from the level of the hypopharynx cranially to the
superior mediastinum caudally, displacing the trachea and exerting compressive effects on the esophagus.
Surgical excision was undertaken, during which the lesion was meticulously dissected, and the left recurrent
laryngeal nerve was preserved. Intraoperatively, there was no response from the right recurrent laryngeal nerve
on neuromonitoring. Histopathological examination confirmed the diagnosis of lymphangioma and 6-month
follow-up revealed complete resolution of vocal cord paresis. To the best of our knowledge, this represents the
first documented case of vocal cord paralysis from a lymphangioma in an adult. Conclusion: Lymphangiomas
are uncommon benign malformations of the lymphatic system with an unknown etiology, predominantly
affecting the pediatric population. Radiological imaging plays a crucial role in diagnostic evaluation. Complete
surgical excision remains the gold standard in the management of such lesions. This case highlights a rare
adult presentation of lymphangioma associated with vocal cord paralysis, successfully treated with surgery
and subsequent full functional recovery.
Ključne riječi
lymphangioma; vocal cord paralysis; neuromonitoring
Hrčak ID:
336378
URI
Datum izdavanja:
10.11.2025.
Posjeta: 119 *