Adult cystic hygroma: successful use of OK-432 (Picibanil).
OBJECTIVE
We report an adult case of cystic lymphangioma treated with OK-432 (Picibanil).


METHODS
A case report and review of the literature concerning the use of OK-432 to treat cystic lymphangioma is presented.


RESULTS
A 31-year-old woman developed a cystic lymphangioma four weeks post-partum. This was treated initially by aspiration, for diagnostic purposes. Investigation suggested that surgery would be challenging. A review of the literature demonstrated success with OK-432 in the treatment of this condition, although primarily in the paediatric population. This patient was successfully treated thus, and at the time of writing remained symptom free. A suggested management plan is outlined.


CONCLUSIONS
Treatment with OK-432 is useful in the management of cystic lymphangiomas in adults and should be considered as first line treatment.
Woolley
S L
SL
Emergency Department, Bristol Royal Infirmary, University Hospital of Wales, Cardiff, Wales, UK. sarah.woolley@ubht.nhs.uk
Smith
D R K
DR
Quine
S
S
D000328:Adult; D000970:Antineoplastic Agents / Q000008:administration & dosage*; D005260:Female; D006258:Head and Neck Neoplasms / Q000188:drug therapy*; D006801:Humans; D007267:Injections; D018191:Lymphangioma, Cystic / Q000188:drug therapy*; D010844:Picibanil / Q000008:administration & dosage*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000970:Antineoplastic Agents; D010844:Picibanil