Among head and neck angiotumors, cystic lymphangioma occurs in infancy
in most cases and it is rare in adulthood. Plunging ranula is one of
the diseases which need to be distinguished from lymphangioma, though
operation is the first choice therapy for both of these. In the presen
t study, we report on 2 cases in whom we conducted intralesional injec
tion of OK-432 for cervical lymphangioma and ranula found in 20 and 35
year-old female patients. We obtained excellent improvement. First of
all, we punctured the tumors and sucked out the liquid content as muc
h as possible, and then used OK-432 in the same volumes to those drawn
out. No swelling was observed in either patient after 1 month, and cy
sts disappeared in CT 4 and 12 months after injection, respectively; a
t present, the prognosis is satisfactory, without recurrence. The intr
alesional injection of OK-432 is considered an effective method, as th
e speed of complete disappearance by this therapy is high. Cosmeticall
y it is superb, leaving no lesions in the skin of the injection site.