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Cases of atypical lymphangiomas in children.

Minocha PK, Roop L, Persad R - Case Rep Pediatr (2014)

Bottom Line: They are most frequently found in the neck and axilla, while intra-abdominal and mediastinal lymphangiomas are uncommon.Conclusion.We believe that ultrasound scan is very good at detection of the lesion, while CT is better at determining tumour content and planning for the operation.

View Article: PubMed Central - PubMed

Affiliation: Department of Paediatric Surgery, San Fernando General Hospital, Trinidad, Trinidad and Tobago.

ABSTRACT
Background. Lymphatic malformations or lymphangiomas are rare benign hamartomas that result from maldevelopment of primitive lymphatic sacs. They are most frequently found in the neck and axilla, while intra-abdominal and mediastinal lymphangiomas are uncommon. These are primarily tumours of infancy and childhood and are successfully treated with surgical excision. Summary of Cases. Five cases of lymphangioma comprising three intra-abdominal lymphangiomas and two unilateral axillary lymphangiomas presenting at one institution in Trinidad W.I. between 2005 and 2012 were examined. The presentations, location, workup, treatment, and outcome of these patients were studied. Conclusion. This paper discusses a range of extracervical lymphangioma cases seen at San Fernando General Hospital, Trinidad W.I. We report three intra-abdominal cases and the most common clinical presentations were abdominal pain and distension. Also two axillary cases were reported, which presented as painless axillary masses. The major concerns for excision of axillary lymphangioma by parents and surgeons were cosmesis and feasibility of complete resection without disruption of developing breast tissue and axillary vessels. We believe that ultrasound scan is very good at detection of the lesion, while CT is better at determining tumour content and planning for the operation. It is our opinion that complete surgical excision can be achieved.

No MeSH data available.


Related in: MedlinePlus

Ultrasound of the chest showing a heterogeneous solid cystic mass in the left axilla.
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fig5: Ultrasound of the chest showing a heterogeneous solid cystic mass in the left axilla.

Mentions: The patient was an 8-year-old female who presented with a 4-day history of a swelling to the left side of her chest that was increasing in size and she was otherwise asymptomatic. She had no medical problems and no significant family history. Interestingly, she was known to have a lymph node in the same area 7 years prior and was scheduled for surgical excision, but it resolved and hence no surgery was done at that time. On examination, she was found to have a 3 cm by 3 cm firm, smooth mass in her left axilla with no surrounding lymphadenopathy. USS of the chest showed a heterogeneous solid and cystic mass in the left axilla (Figure 5). The patient had needle aspiration which revealed a bloody aspirate and this was followed by a course of oral antibiotics; however, the swelling failed to resolve. CT scan of the chest with contrast done subsequently demonstrated a left axillary cystic mass with no intrathoracic extension (Figure 6). She had complete surgical excision of the cystic mass. However, the proximity of the lesion to developing breast tissue posed a challenge to surgical resection. Follow-up in clinic for the past 3 years has shown symmetrical development of breasts with no deformity to the left breast. Histology confirmed the diagnosis of lymphangioma.


Cases of atypical lymphangiomas in children.

Minocha PK, Roop L, Persad R - Case Rep Pediatr (2014)

Ultrasound of the chest showing a heterogeneous solid cystic mass in the left axilla.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4195264&req=5

fig5: Ultrasound of the chest showing a heterogeneous solid cystic mass in the left axilla.
Mentions: The patient was an 8-year-old female who presented with a 4-day history of a swelling to the left side of her chest that was increasing in size and she was otherwise asymptomatic. She had no medical problems and no significant family history. Interestingly, she was known to have a lymph node in the same area 7 years prior and was scheduled for surgical excision, but it resolved and hence no surgery was done at that time. On examination, she was found to have a 3 cm by 3 cm firm, smooth mass in her left axilla with no surrounding lymphadenopathy. USS of the chest showed a heterogeneous solid and cystic mass in the left axilla (Figure 5). The patient had needle aspiration which revealed a bloody aspirate and this was followed by a course of oral antibiotics; however, the swelling failed to resolve. CT scan of the chest with contrast done subsequently demonstrated a left axillary cystic mass with no intrathoracic extension (Figure 6). She had complete surgical excision of the cystic mass. However, the proximity of the lesion to developing breast tissue posed a challenge to surgical resection. Follow-up in clinic for the past 3 years has shown symmetrical development of breasts with no deformity to the left breast. Histology confirmed the diagnosis of lymphangioma.

Bottom Line: They are most frequently found in the neck and axilla, while intra-abdominal and mediastinal lymphangiomas are uncommon.Conclusion.We believe that ultrasound scan is very good at detection of the lesion, while CT is better at determining tumour content and planning for the operation.

View Article: PubMed Central - PubMed

Affiliation: Department of Paediatric Surgery, San Fernando General Hospital, Trinidad, Trinidad and Tobago.

ABSTRACT
Background. Lymphatic malformations or lymphangiomas are rare benign hamartomas that result from maldevelopment of primitive lymphatic sacs. They are most frequently found in the neck and axilla, while intra-abdominal and mediastinal lymphangiomas are uncommon. These are primarily tumours of infancy and childhood and are successfully treated with surgical excision. Summary of Cases. Five cases of lymphangioma comprising three intra-abdominal lymphangiomas and two unilateral axillary lymphangiomas presenting at one institution in Trinidad W.I. between 2005 and 2012 were examined. The presentations, location, workup, treatment, and outcome of these patients were studied. Conclusion. This paper discusses a range of extracervical lymphangioma cases seen at San Fernando General Hospital, Trinidad W.I. We report three intra-abdominal cases and the most common clinical presentations were abdominal pain and distension. Also two axillary cases were reported, which presented as painless axillary masses. The major concerns for excision of axillary lymphangioma by parents and surgeons were cosmesis and feasibility of complete resection without disruption of developing breast tissue and axillary vessels. We believe that ultrasound scan is very good at detection of the lesion, while CT is better at determining tumour content and planning for the operation. It is our opinion that complete surgical excision can be achieved.

No MeSH data available.


Related in: MedlinePlus