Cystic lymphangioma of the breast in a 6-year-old boy

Onkar Singh1, Shilpi Singh Gupta, Vijay D Upadhyaya

  • 1Department of Surgery, M.G.M Medical College & MY Hospital, Indore 452001, India. dronkarsingh@gmail.com

Insights

Cystic lymphangiomas are rare in children, especially in the breast. This case highlights a 6-year-old boy with a breast lymphangioma, successfully treated with surgery and showing no recurrence.

Area of Science:

  • Pediatric Surgery
  • Pediatric Oncology
  • Vascular Malformations

Background:

  • Cystic lymphangiomas are benign congenital vascular malformations.
  • While common in children, breast involvement is exceptionally rare.
  • Adults are more frequently affected by breast lymphangiomas than pediatric patients.

Observation:

  • A 6-year-old boy presented with a palpable left breast mass measuring 4.5 x 3.5 x 2.5 cm.
  • The clinical presentation mimicked other pediatric breast lesions.
  • Diagnostic imaging was followed by surgical intervention.

Findings:

  • Histopathological examination confirmed the diagnosis of cystic lymphangioma.
  • Surgical excision was curative, with no evidence of recurrence at 18 months post-operation.
  • This case adds to the limited pediatric literature on breast cystic lymphangiomas.

Implications:

  • Early diagnosis and surgical management are crucial for pediatric breast cystic lymphangiomas.
  • Complete excision appears to be an effective treatment strategy.
  • Further research is warranted to understand the specific characteristics and management of this rare pediatric condition.