Cystic Lymphangioma Of The Right Parotid Gland In An Infant: A Rare Entity With Classic Imaging Features
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Cystic lymphangioma is a benign lesion consisting of multiple lymphatic spaces. The primary site of lymphangioma at parotid gland is extremely unusual and till date, there are only very few cases of infant cystic lymphangioma of the parotid. In this study, we presented the case of a 7-month-old female patient with cystic lymphangioma of the right parotid gland since birth which is a rare entity and its classic imaging features in detail. USG revealed a well-defined multiloculated, multiseptated anechoic cystic lesion involving the right parotid gland, likely involving both superficial and deep lobes. The lesion measured approximately 45 x 40 × 31 mm (CC x AP × TR). Inferiorly, the lesion extended into the right submandibular region, causing mass effect on the ipsilateral submandibular gland, which was displaced anteromedially. CECT showed well-defined multilobulated, multiseptated hypodense cystic lesion with attenuation values of 10–20 HU involving the right parotid gland, measuring approximately 48 × 43 × 35 mm (CC × AP × TR). The lesion demonstrated thin, imperceptible walls and internal septations. As per this study, USG can be recommended for initial non-invasive imaging that leads to a diagnosis. To evaluate the extent of the lesion, CECT had been used in this study which provided better diagnosis. However, the definitive diagnosis can be achieved with final histopathological examination
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Kennedy TL, Whitaker M, Pellitteri P, Wood WE: Cystic hygroma/lymphangioma: a rational approach to management. Laryngoscope. 2001, 111:1929-37.
Bailey CM. Cystic hygroma. Lancet. 1990;335 (8688):511–512.
Alqahtani A, Nguyen LT, Flageole H, Shaw K, Laberge JM. 25 years' experience with lymphangiomas in children. Journal of pediatric surgery. 1999 Jul 1;34(7):1164-8.
Kandakure VT, Thakur GV, Thote AR, Kausar AJ: Cervical lymphangioma in adult. Int J Otorhinolaryngol Clin. 2012, 4:147-50.
Berri T, Azizi S: Large cystic lymphangioma of the parotid gland in the adult. Egypt J Ear, Nose, Throat Allied Sci. 2014, 15:259-61.
Ngui LX, Gopalan S, Chai CK. A rare case of spontaneous regression of huge neck lymphangioma post primary infection. Egyptian Journal of Ear, Nose, Throat and Allied Sciences. 2016 Jul 1;17(2):99-102.
Perkins JA, Maniglia C, Magit A, Sidhu M, Manning SC, Chen EY. Clinical and radiographic findings in children with spontaneous lymphatic malformation regression. Otolaryngology—Head and Neck Surgery. 2008 Jun;138(6):772-7.
Chisin R, Fabian R, Weber AL, Ragozzino M, Brady TJ, Goodman M. MR imaging of a lymphangioma involving the masseter muscle. Journal of computer assisted tomography. 1988;12(4):690-2.
Gold L, Nazarian LN, Johar AS, Rao VM: Characterizationof maxillofacial soft tissue vascular anomalies by ultrasound and color Doppler imaging: an adjuvant to computed tomography and magnetic resonance imaging. J Oral Maxillofac Surg. 2003, 61:19-31.
Mandel L: Parotid area lymphangioma in an adult: case report . J Oral Maxillofac Surg. 2004, 62:1320-3.
Shah GH, Deshpande MD: Lymphatic malformation in adult patient: a rare case . J Oral Maxillofac Surg. 2010, 9:284-8.
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