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Cystic lymphangioma of the chest wall: a case report
Norio Yokoigawa1, Masashi Okuno2, A-H Kwon2
1Department of Surgery, Higashi Osaka Hospital, Osaka, Japan.
Insights
Cystic lymphangioma, a rare congenital chest wall tumor in infants, was successfully treated. This case highlights the importance of prompt diagnosis and surgical intervention for pediatric cystic malformations.
Area of Science:
- Pediatric Surgery
- Congenital Malformations
- Diagnostic Imaging
Background:
- Cystic lymphangioma is a rare congenital cystic malformation, predominantly affecting the pediatric population.
- While commonly found in the cervix, its occurrence in the chest wall is exceptionally infrequent.
- Early identification and management are crucial for favorable outcomes in affected children.
Observation:
- A 2-month-old female infant presented with a progressively enlarging left chest wall tumor noted since birth.
- Diagnostic imaging, including transillumination and ultrasonography, confirmed a cystic lesion in the left chest wall.
- The pediatric patient underwent a single-stage surgical resection for the observed chest wall mass.
Findings:
- Histopathological examination definitively diagnosed the chest wall lesion as a cystic lymphangioma.
- The surgical intervention successfully removed the congenital cystic malformation.
- The case underscores the rarity of chest wall cystic lymphangioma in pediatric patients.
Implications:
- This case report contributes to the limited literature on pediatric chest wall cystic lymphangioma.
- It emphasizes the need for considering rare diagnoses in pediatric chest wall tumors.
- Successful surgical resection offers a curative option for this congenital condition.
Abstract:
Cystic lymphangioma is a congenital cystic malformation that occurs mostly in children. While it is mainly found in the cervix, cases in the chest wall are very rare. We report a case of cystic lymphangioma found in the chest wall of a 2-month-old girl. The patient was noted to have a tumor in the left chest wall at birth. Since it gradually increased in size, the patient was referred to our department. Transillumination and ultrasonography showed a cystic lesion in the left chest. Surgical resection was performed in one step. Histopathological examination showed a cystic lymphangioma.
