Spontaneous cervical lymphocele.
BACKGROUND
Primary (spontaneous) cervical lymphoceles in adults are extremely rare. More frequently occurring acquired cervical lymphoceles have been described in the setting of a neck trauma or after a neck dissection. We report a case of a spontaneous left cervical lymphocele in a previously asymptomatic female.


RESULTS
A 44-year-old woman presented with a 2-month history of a left neck mass initially noted by her physician during a routine physical examination. She denied prior head and neck surgery or neck trauma. CT scan of the neck revealed a left cystic mass. Fine-needle aspiration of the cyst yielded chylous material and lymphocytes. The surgical specimen grossly and microscopically was consistent with a lymphocele. The diagnosis was confirmed using D2-40 antibody targeting lymphatic endothelial cells lining the cyst.


CONCLUSIONS
Primary cervical lymphocele should be included in the differential diagnosis of a solitary neck mass in an adult.
Hekiert
Adrianna
A
Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania 19104, USA.
Newman
Jason
J
Sargent
Rachel
R
Weinstein
Gregory
G
D000328:Adult; D005260:Female; D006801:Humans; D008210:Lymphocele / Q000175:diagnosis* / Q000601:surgery; D009333:Neck