AI Article Synopsis
- A study looked at 10 patients with swelling in their necks that kept coming back and didn't have a clear cause.
- They found that most of the swelling was on the left side, and all patients had problems with their lymphatic system that were causing the swelling.
- After treatment, 6 out of 10 patients felt completely better, while 1 felt partially better, but 3 still have some swelling and don't want more treatment.
Article Abstract
Background: Idiopathic recurrent cervical swelling may be caused by lymphatic abnormalities.
Methods: Ten patients (9 females, mean age 51.2 ± 7) with idiopathic recurrent cervical swelling underwent MR-lymphangiography (MRL). MR-lymphangiograms were evaluated regarding lymphatic anatomy and flow. Individualized treatment was recommended according to MRL-findings.
Results: 8/10 patients presented with left-sided, 2/10 with right-sided swelling. Pathological lymph-flow was identified in all cases: thoracic duct dilatation in patients with left-sided and right lymphatic duct dilatation in right-sided swelling, accessory thoracic lymphatics in 7/10 and reflux in 8/10 cases. In two cases, a lymphatic thrombus was identified.After treatment, symptoms resolved completely in 6/10 cases and partially in 1/10 cases. The remaining three patients have intermittent swellings but have no treatment wish.
Conclusion: Idiopathic recurrent cervical swelling can be caused by lymphatic anomalies. MRL displays impaired lymphatic drainage, lymphatic vessel dilatation, and chylolymphatic reflux as hallmarks of this condition and may aid in targeted treatment planning.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9575114 | PMC |
| http://dx.doi.org/10.1002/lio2.919 | DOI Listing |
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