title: Adult cystic hygroma: successful use of OK-432 (Picibanil).
abstract: 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.
authors.affiliation: Emergency Department, Bristol Royal Infirmary, University Hospital of Wales, Cardiff, Wales, UK. sarah.woolley@ubht.nhs.uk
authors.forename: S L
authors.initials: SL
authors.lastname: Woolley
authors.forename: D R K
authors.initials: DR
authors.lastname: Smith
authors.forename: S
authors.initials: S
authors.lastname: Quine
mesh_terms: 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
chemical_list: D000970:Antineoplastic Agents; D010844:Picibanil