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Lymphovascular Malformation - A Report of Two Cases
Mitakshara Sharma1, Varuna Mallya2, Nita Khurana3
1Senior Resident, Department of Pathology, Maulana Azad Medical College, New Delhi, India.
Journal of Clinical and Diagnostic Research : JCDR
|June 30, 2017
Summary
Congenital vascular malformations (CVM) include lymphaticovenous malformations (LVM), rare conditions often found in the neck or axilla. Early diagnosis and surgical intervention are crucial for effective treatment of these rare vascular tumors.
Area of Science:
- Vascular Surgery
- Pediatric Surgery
- Pathology
Background:
- Congenital Vascular Malformations (CVM) arise from developmental defects in the vascular system.
- Lymphatic malformations involve dilated lymphatic vessels due to drainage system occlusion.
- Lymphaticovenous Malformations (LVM) uniquely feature both lymphatic and venous channels, commonly in the neck and axilla.
Observation:
- Two pediatric cases presented with swelling in the arm and groin.
- Radiological investigations aided in provisional diagnosis.
- Surgical excision followed by histopathology and immunohistochemistry confirmed the LVM diagnosis.
Findings:
- The reported cases highlight LVM as rare congenital tumors.
- Diagnosis requires a high index of suspicion from both pathologists and surgeons.
- Histopathology and immunohistochemistry are essential for definitive diagnosis.
Implications:
- These findings emphasize the importance of recognizing LVMs in pediatric patients.
- Accurate diagnosis is critical for appropriate surgical management.
- Increased awareness can improve outcomes for children with these rare vascular anomalies.
