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Giant dermoid cyst of the neck can mimic a cystic hygroma: using MRI to differentiate cystic neck lesions.
Int J Pediatr Otorhinolaryngol. 2007 Apr; 71(4):653-8.IJ

Abstract

OBJECTIVE

To describe differential features of giant cervical dermoid cysts and other cystic lesions of the head and neck.

METHODS

Case report including magnetic resonance imaging, surgical excision, pathologic examination and correlation.

RESULTS

We report the case of a 15-year-old boy who presented for evaluation of a slowly enlarging doughy submental mass. Ultrasound showed some features consistent with a cystic hygroma and both sclerotherapy and surgical excision were discussed with the family. However, an unusual solid component on magnetic resonance imaging (MRI) mitigated toward surgical excision. At surgery, the cystic mass was excised and measured 9.5 cm x 5.5 cm x 4.0cm. Histology showed a giant dermoid cyst similar to those seen in the ovary. The solid component was a smooth spherical collection of inspissated sebum.

CONCLUSIONS

The unique MRI characteristics of giant dermoid cysts can help to separate these rare lesions from more common cystic hygromas. Fine needle aspiration should be considered for questionable lesions before treatment with OK 432 or similar agents.

Authors+Show Affiliations

Department of Otolaryngology, Head and Neck Surgery, Temple University School of Medicine, 3400 North Broad Street-Kresge West #102, Philadelphia, PA 19140, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17250900

Citation

Ro, Eric Y., et al. "Giant Dermoid Cyst of the Neck Can Mimic a Cystic Hygroma: Using MRI to Differentiate Cystic Neck Lesions." International Journal of Pediatric Otorhinolaryngology, vol. 71, no. 4, 2007, pp. 653-8.
Ro EY, Thomas RM, Isaacson GC. Giant dermoid cyst of the neck can mimic a cystic hygroma: using MRI to differentiate cystic neck lesions. Int J Pediatr Otorhinolaryngol. 2007;71(4):653-8.
Ro, E. Y., Thomas, R. M., & Isaacson, G. C. (2007). Giant dermoid cyst of the neck can mimic a cystic hygroma: using MRI to differentiate cystic neck lesions. International Journal of Pediatric Otorhinolaryngology, 71(4), 653-8.
Ro EY, Thomas RM, Isaacson GC. Giant Dermoid Cyst of the Neck Can Mimic a Cystic Hygroma: Using MRI to Differentiate Cystic Neck Lesions. Int J Pediatr Otorhinolaryngol. 2007;71(4):653-8. PubMed PMID: 17250900.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Giant dermoid cyst of the neck can mimic a cystic hygroma: using MRI to differentiate cystic neck lesions. AU - Ro,Eric Y, AU - Thomas,Rebecca M, AU - Isaacson,Glenn C, Y1 - 2007/01/23/ PY - 2006/06/22/received PY - 2006/11/16/revised PY - 2006/11/17/accepted PY - 2007/1/26/pubmed PY - 2007/6/6/medline PY - 2007/1/26/entrez SP - 653 EP - 8 JF - International journal of pediatric otorhinolaryngology JO - Int J Pediatr Otorhinolaryngol VL - 71 IS - 4 N2 - OBJECTIVE: To describe differential features of giant cervical dermoid cysts and other cystic lesions of the head and neck. METHODS: Case report including magnetic resonance imaging, surgical excision, pathologic examination and correlation. RESULTS: We report the case of a 15-year-old boy who presented for evaluation of a slowly enlarging doughy submental mass. Ultrasound showed some features consistent with a cystic hygroma and both sclerotherapy and surgical excision were discussed with the family. However, an unusual solid component on magnetic resonance imaging (MRI) mitigated toward surgical excision. At surgery, the cystic mass was excised and measured 9.5 cm x 5.5 cm x 4.0cm. Histology showed a giant dermoid cyst similar to those seen in the ovary. The solid component was a smooth spherical collection of inspissated sebum. CONCLUSIONS: The unique MRI characteristics of giant dermoid cysts can help to separate these rare lesions from more common cystic hygromas. Fine needle aspiration should be considered for questionable lesions before treatment with OK 432 or similar agents. SN - 0165-5876 UR - https://www.unboundmedicine.com/medline/citation/17250900/Giant_dermoid_cyst_of_the_neck_can_mimic_a_cystic_hygroma:_using_MRI_to_differentiate_cystic_neck_lesions_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(06)00486-1 DB - PRIME DP - Unbound Medicine ER -