Abstract:
Cystic lymphangiomas are rare benign dysembryoplastic tumors of lymphatic origin, which represent 2.6 to 5% of congenital cervical masses. LKC can range from microscopic to cystic form. Its preferred location is the posterior cervical triangle. Our work is a retrospective study carried out in the department of Gynecology-obstetrics II CHU Hassan II-Fès involving 5 cases of cervico-facial cystic lymphangioma. Prenatal diagnosis has all its importance in improving the prognosis (thanks to certain prenatal interventions), the decision of the delivery route as well as the rapid and organized management of respiratory distress in the immediate postnatal period, this diagnosis is based primarily on ultrasound and MRI. Although postnatal management often frees the airways with bronchoscope intubation, a high risk of hypoxic death persists in extensive LKC. Large lesions can be aspirated in utero to prevent obstructed labor and to facilitate postnatal airway release. The prognosis of LKC is mainly conditioned by its volume (impact on the upper aero-digestive tract) and especially by its extension, in particular to the deep regions of the face. The objective of our study is to report our experience in terms of antenatal diagnosis of cervico-facial cystic lymphangiomas, to discuss the cases and compare them to those in the literature in terms of epidemiology, diagnosis, decisions, load and prognosis
|