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Mediastinal lymphangioma in an infant
1Department of Pediatrics, Taipei Municipal Women and Children's Hospital, Taipei.
Summary
Mediastinal lymphangioma is a rare tumor in young children. This case highlights a 17-month-old girl with recurrent respiratory issues due to a growing mediastinal mass, successfully treated with surgery.
Area of Science:
- Pediatric Oncology
- Thoracic Surgery
- Diagnostic Imaging
Background:
- Lymphangiomas are rare congenital vascular malformations.
- Mediastinal lymphangiomas are exceptionally uncommon in infants under two years old.
- Recurrent respiratory symptoms in infants can indicate serious underlying pathology.
Observation:
- A 17-month-old female presented with recurrent respiratory distress.
- Imaging revealed a progressively enlarging, cystic, multiloculated mediastinal mass.
- The mass was located in the anterior and superior mediastinum, encasing great vessels.
Findings:
- Surgical resection via left thoracotomy was performed.
- Pathologic examination confirmed a cavernous lymphangioma.
- The patient experienced an uneventful postoperative recovery.
Implications:
- This case underscores the importance of considering rare mediastinal tumors in infants with respiratory symptoms.
- Early diagnosis and surgical intervention are crucial for favorable outcomes.
- Cavernous lymphangioma should be included in the differential diagnosis of pediatric mediastinal masses.