All issues > Volume 35(8); 1992

Case Report

J Korean Pediatr Soc. 1992;35(8):1148-1156. Published online August 15, 1992.

Four Cases of Massive Infiltrating Congenital Cystic Hygroma Managed by Bleomycin Sclerosing Therapy

Hyun H Kwack¹, Dong Wook DW Kim¹, Kyung Woon KW No¹, Jun J Heo¹, Sun Young SY Kim¹, Young Pyo YP Jang¹, Jung-Hwan JH Choi¹, Chong Ku CK Yun¹, Seong En SE Jung², Gui Won GW Park², Woo Gi WG Kim², In Won IW Kim³, Kyung Mo KM Yeon³

¹Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea
²Department of Pediatric Surgery, Seoul National University College of Medicine, Seoul, Korea
³Department of Radiology, Seoul National University College of Medicine, Seoul, Korea

Abstract

Cystic hygroma is a true, benign, congenital multi-cystic tumor. It is thought to be arised from failure of the lymphatic system to communicate with the venous system. Frequently it occurs at birth, and it is found most commonly in the neck as painless and fluctuant mass. For many years, surgical excision has been considered as the treatment of choice. However, excision of tumors, if incomplete, may readily be followed by wound infection and recurrence. Bleomycin given by local injection has drawn attention as an efficacious nonsurgical measure against residual or recurrent tumors. In 4 cases we administered bleomycin to the patients after tapping of the cyst by aspiration with a puncture needle. There was no serious side effect with bleomycin injection and the size of the mass has become reduced in all 4 cases.

Keywords :Cystic hygroms, Bleomycin sclerosing therapy