PMC7490987_01
Showing swelling.
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On examination patient had a 8 x 5 cms soft, cystic, non-tender swelling which is transilluminant in the anterior triangle of the neck, swelling had reduced mobility and does not move on deglutition (Fig. 1).
MRI image showing lesion.
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PMC7490987_02
showing lesion over sternocleinomastoid.
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PMC7490987_02_gr3.jpg
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Patient had undergone a transcervical surgical excision of the cervical part of lymphangioma up to the superior border of sub mandibular gland (Fig. 3, Fig. 4 with intra lesional picibanil (OK 432) injection to the intra cranial part in view of not disturbing any vital structures for excision of the intracranial part.
Pathology slide of lymphangioma.
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Post-operative pathological report showed multi-lobulated, thin walled, lymph containing sac (Fig. 5).