Cases of Atypical Lymphangiomas in Children

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...

Full description

Saved in:
Bibliographic Details
Main Authors: Prashant K. Minocha, Lakhan Roop, Rambachan Persad
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2014/626198
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850164720247504896
author Prashant K. Minocha
Lakhan Roop
Rambachan Persad
author_facet Prashant K. Minocha
Lakhan Roop
Rambachan Persad
author_sort Prashant K. Minocha
collection DOAJ
description 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.
format Article
id doaj-art-e9b30546c1614f82a7dd83b58aeadcae
institution OA Journals
issn 2090-6803
2090-6811
language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series Case Reports in Pediatrics
spelling doaj-art-e9b30546c1614f82a7dd83b58aeadcae2025-08-20T02:21:54ZengWileyCase Reports in Pediatrics2090-68032090-68112014-01-01201410.1155/2014/626198626198Cases of Atypical Lymphangiomas in ChildrenPrashant K. Minocha0Lakhan Roop1Rambachan Persad2Department of Paediatric Surgery, San Fernando General Hospital, Trinidad, Trinidad and TobagoDepartment of Paediatric Surgery, San Fernando General Hospital, Trinidad, Trinidad and TobagoDepartment of Paediatric Surgery, San Fernando General Hospital, Trinidad, Trinidad and TobagoBackground. 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.http://dx.doi.org/10.1155/2014/626198
spellingShingle Prashant K. Minocha
Lakhan Roop
Rambachan Persad
Cases of Atypical Lymphangiomas in Children
Case Reports in Pediatrics
title Cases of Atypical Lymphangiomas in Children
title_full Cases of Atypical Lymphangiomas in Children
title_fullStr Cases of Atypical Lymphangiomas in Children
title_full_unstemmed Cases of Atypical Lymphangiomas in Children
title_short Cases of Atypical Lymphangiomas in Children
title_sort cases of atypical lymphangiomas in children
url http://dx.doi.org/10.1155/2014/626198
work_keys_str_mv AT prashantkminocha casesofatypicallymphangiomasinchildren
AT lakhanroop casesofatypicallymphangiomasinchildren
AT rambachanpersad casesofatypicallymphangiomasinchildren