Diagnostic approach to patients presenting with lymphatic malformations in head and neck. Case report

Lymphatic malformations are infrequent lesions that have specific imaging features. We report the case of a 6 years old patient with a mass in the neck and floor of the mouth. She had multiple consultations since 3 years of age due to increasing size of the lesions and involvement of the airway. In the last hospitalization, she had elevated acute phase reactants. Medical management was started with steroids and antibiotics. CT and MRI of the head and neck f documented cystic lesions with features of macro cystic lymphatic malformations on the left side of the neck and floor of the mouth, with midline displacement and compression of the airway. Biopsy confirmed the diagnosis.