Spontaneous cervical lymphocele
Article first published online: 13 NOV 2006
Copyright © 2006 Wiley Periodicals, Inc.
Head & Neck
Volume 29, Issue 1, pages 77–80, January 2007
How to Cite
Hekiert, A., Newman, J., Sargent, R. and Weinstein, G. (2007), Spontaneous cervical lymphocele. Head Neck, 29: 77–80. doi: 10.1002/hed.20484
- Issue published online: 8 DEC 2006
- Article first published online: 13 NOV 2006
- Manuscript Accepted: 5 MAY 2006
- thoracic duct;
Primary (spontaneous) cervical lymphoceles in adults are extremely rare. More frequently occurring acquired cervical lymphoceles have been described in the setting of a neck trauma or after a neck dissection. We report a case of a spontaneous left cervical lymphocele in a previously asymptomatic female.
Methods and Results.
A 44-year-old woman presented with a 2-month history of a left neck mass initially noted by her physician during a routine physical examination. She denied prior head and neck surgery or neck trauma. CT scan of the neck revealed a left cystic mass. Fine-needle aspiration of the cyst yielded chylous material and lymphocytes. The surgical specimen grossly and microscopically was consistent with a lymphocele. The diagnosis was confirmed using D2-40 antibody targeting lymphatic endothelial cells lining the cyst.
Primary cervical lymphocele should be included in the differential diagnosis of a solitary neck mass in an adult. © 2006 Wiley Periodicals, Inc. Head Neck 2007