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We report the case of a 63-year-old patient suffering from a nasopharyngeal adenoid cystic carcinoma. She presented with increased oral secretion and pharyngeal irritation, Horner's syndrome, and trigeminal neuralgia. Magnetic resonance imaging scans revealed a tumor of the nasopharyngeal space invading the right cranial base. Lymph node metastases were clinically excluded. The histological sample confirmed an adenoid cystic carcinoma, which was therapeutically treated with adequate radiotherapy. Based on the presented case report and a review of the literature, we discuss the diagnosis and treatment of adenoid cystic carcinomas of the nasopharynx.

Die vorliegende Kasuistik beschreibt den Fall einer 27-jahrigen Patientin mit einem zervikalen zystischen Hygrom. Bei Erstkonsultation bestand eine faustgrose prallelastische Weichteilschwellung des rechten hinteren Halsdreiecks ohne Begleitsymptome. Die Kernspintomographie zeigte einen zystischen Tumor ohne Enhancement nach Kontrastmittelgabe an gleicher Stelle. Es erfolgte die kurative Exstirpation der Zyste in Intubationsnarkose. 3 und 6 Monate nach Hygromentfernung bestand bei den Kontrolluntersuchungen kein Anhalt auf ein Rezidiv.

We report the case of a 27-year-old patient suffering from a cystic hygroma of unknown etiology. She presented with an asymptomatic fluctuant mass in the right posterior triangle of the neck. NMR-scans revealed a cystic tumor in the above-mentioned area without enhancement after administration of gadolinium. The cystic hygroma was surgically excised. Three and six months after surgery there was no sign of recurrence. By means of the presented case report and review of literature we discuss diagnosis and treatment of cystic hygromas.