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Lymphangiomas in children
The Australian and New Zealand Journal of Surgery
|June 1, 1981
Summary
This study reviews 105 pediatric lymphangioma cases, finding neck lesions most common and often present at birth. Surgical excision was successful in most cases, though some required partial removal due to lesion extension.
Area of Science:
- Pediatric Surgery
- Medical Genetics
Background:
- Lymphangiomas are congenital benign tumors of the lymphatic system.
- Understanding their epidemiology and clinical behavior is crucial for effective management.
Observation:
- A 12-year retrospective review of 105 pediatric lymphangioma cases.
- Lesions were most frequently observed in the neck (50% at birth), followed by abdominal lymphatic cysts and axilla.
- Rarely, lymphangiomas occurred in the retroperitoneum, orbits, scrotum, and larynx.
Findings:
- Complete surgical excision was achieved in 70% of patients.
- Partial excision was necessary in 19% due to extensive or inaccessible lesion locations.
- The study discusses pathogenesis, clinical presentations, and management strategies.
Implications:
- Highlights the importance of early diagnosis and surgical intervention for pediatric lymphangiomas.
- Provides insights into the varied clinical presentations and management challenges.
- Contributes to the understanding of lymphangioma behavior in children.