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Lymphangiomas in children
Insights
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.
Abstract:
The records of one hundred and five children with lymphangiomas seen over a period of 12 years are presented. There were 6 boys and 38 girls. In 50% of the cases the lesions were noticed at birth. The neck was the commonest site of the lesion. Abdominal lymphatic cysts were next common in frequency, followed by the axilla. Rare sites such as the retroperitoneum, orbits, scrotum and larynx were occasionally found to be involved. Complete surgical excision could be achieved in 70 cases, while in 19 cases only partial excision could be done because of the extension of the lesions to inaccessible areas. The pathogenesis, clinical presentations and management of this condition are discussed, and three rare cases with interesting presentations are reported.