OK-432 Sclerotherapy of Giant Cervicomediastinal Cystic Hygroma

J Craniofac Surg. 2022 Nov-Dec;33(8):e810-e812. doi: 10.1097/SCS.0000000000008692. Epub 2022 Sep 6.

Abstract

Cystic hygroma is one type of the benign malformations and typically located in the neck, clavicle, and others, in children under the age of 5 years. However, the incidence of giant cervicomediastinal giant cystic hygroma is very rare, especially in adulthood. Such a location and age make its diagnosis difficult because they are usually asymptomatic. Complete surgical resection seems impossible while multiple sites are involved. Herein, we present a case of giant cervicomediastinal cystic hygroma, describing the clinical presentation, radiographic features, and OK-432 sclerotherapy. In conclusion, repeated OK-432 sclerotherapy may be an effective treatment option in giant cervicomediastinal cystic hygroma. Pay close attention to patient's symptoms and vital signs, adjusting the OK-432 dose throughout the process.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Child
  • Child, Preschool
  • Clavicle
  • Humans
  • Lymphangioma, Cystic* / diagnostic imaging
  • Lymphangioma, Cystic* / therapy
  • Neck
  • Picibanil* / therapeutic use
  • Sclerotherapy

Substances

  • Picibanil