PRENATAL-DIAGNOSIS AND MANAGEMENT OF MASSIVE BILATERAL AXILLARY CYSTIC LYMPHANGIOMA

Background: Fetal lymphangiomas fan occur in many different anatomic l ocations, including the most commonly seen nuchal cystic hygroma. Case : A fetus at 18 weeks' gestation was found to have a massive right axi llary hygroma. The fetal karyotype was normal. Serial ultrasound exami nations indicated progressive enlargement, but no hydrops. At 32 weeks ' gestation, a left axillary hygroma was also diagnosed. The patient u nderwent cesarean delivery. Conclusion: Prenatal diagnosis of nuchal c ystic hygromas has a high association with karyotypic abnormalities, h ydrops, and fetal demise; however, this association may not apply to c ystic lymphangiomas at other locations.