PMC4336381_01
Mass as demonstrated on physical examination.
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He was found to have a 20 cm x 12 cm x 7 cm, fluctuant, non-tender, collection over the right upper flank extending superiorly into the axilla and anteriorly onto the lateral aspect of the pectoralis major (Fig. 1).
Magnetic resonance imaging demonstrating a large multi-septated non-enhancing cystic mass.
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Magnetic resonance imaging demonstrated a large multi-septated non-enhancing cystic mass associated with the right axilla and lateral chest wall (Fig. 2).
Laparoscopic view of internal septations during initial aspiration and tissue biopsy.
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Laparoscopic guidance was utilized to sample various internal parts of the lesion through a minimal incision and was helpful in identifying and lysing additional loculations (Fig. 3).
Cystic hygroma, ex vivo, measuring 17 cm x 10 cm x 3 cm.
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Where the cyst became embedded in the axilla, a gentle blunt dissection was sufficient to remove the remaining mass along with a few incorporated lymph nodes (Fig. 4).