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Presented by Hind Nassar, M.D. and prepared by Aatur Singhi, M.D., Ph.D.
Case 4: Lateral neck cystic mass in a 50 year old woman.
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1. Question
Week 414: Case 4
Lateral neck cystic mass in a 50 year old womanimages/1alex/110209case4image1.jpg
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images/1alex/110209case4image4.jpgCorrect
Answer: Lymphangioma
Histology: no provided
Discussion: The lesion consists of large lymphatic channels in loose connective tissue and collection of lymphocytes seen in the stroma. By immunostains the lesion is positive for D2-40, a lymphatic marker and negative for keratin ruling out a cystic epithelial lesion. Lymphangioma is curable with excision and does not become malignant.
Incorrect
Answer: Lymphangioma
Histology: no provided
Discussion: The lesion consists of large lymphatic channels in loose connective tissue and collection of lymphocytes seen in the stroma. By immunostains the lesion is positive for D2-40, a lymphatic marker and negative for keratin ruling out a cystic epithelial lesion. Lymphangioma is curable with excision and does not become malignant.
