Kistik higromanın farklı anatomik lokalizasyonları: 16 olgunun retrospektif analizi

Amaç: Bu çalışmada kliniğimizde yapılan kistik higroma ameliyatlarının sonuçları bildirildi. Çalışma planı: Ocak 2011 - Aralık 2015 tarihleri arasında kliniğimizde kistik higroma nedeni ile ameliyat edilen 16 hastanın (7 erkek, 9 kadın; ort. yaş 39.9±17.5 yıl; dağılım 11- 69 yıl) tıbbi kayıtları retrospektif olarak incelendi. Hastaların yaşı ve cinsiyeti, lezyonun anatomik lokalizasyonu, hastanede kalış süresi, ameliyat sonrası komplikasyonlar ve mortalite ve morbidite oranları dahil olmak üzere veriler kaydedildi. Bulgular: En sık görülen semptomlar yumuşak doku şişliği, ağrı ve öksürük idi. En sık görülen anatomik bölge servikal bölgeyi (n=8, %50) takiben, aksiller bölge (n=3, %18.8), mediastinal bölge (n=3, %18.8) ve toraks duvarı (n=2, %12.5) idi. Beş hastada minör komplikasyonlar gelişti. Sonuç: Genellikle çocukluk çağında görülmesine rağmen, kistik higroma erişkinleri de etkileyebilir ve çeşitli anatomik lokalizasyonlarda görülebilir. Yumuşak fluktuasyon veren kitlelerde veya asemptomatik servikomediastinal lezyonlarda akılda tutulmalıdır. Başlıca tedavi yaklaşımı cerrahi olup, kist total olarak çıkarılmaz ise, nüks ihtimali yüksektir.

Various anatomic localizations of cystic hygroma: a retrospective analysis of 16 cases

Background: This study aims to report the results of cystic hygroma operations performed in our clinic.Methods: Medical records of 16 patients (7 males, 9 females; mean age 39.9±17.5 years; range 11 to 69 years) operated for cystic hygroma in our clinic between January 2011 and December 2015 were retrospectively analyzed. Data including age and gender of the patients, anatomic localization of the lesion, length of hospital stay, postoperative complications, and mortality and morbidity rates were recorded.Results: The most common symptoms were soft tissue swelling, pain, and cough. The most common anatomical localization was cervical region (n=8, 50%), followed by axillary region (n=3, 18.8%), mediastinal region (n=3, 18.8%), and thoracic wall (n=2, 12.5%). Five patients experienced minor complications.Conclusion: Although common in childhood, cystic hygroma may also affect adults and occur in various anatomic localizations. Cystic hygroma should be considered in case of soft fluctuating masses or asymptomatic cervicomediastinal lesions. Surgery is the primary management approach, and when a cyst is not totally excised, there is a high risk of recurrence.

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