Concomitant breast and axillary lymphangioma in an adult

Abstract

Rationale:Lymphangiomas develop in the head, neck, and axilla of patients <2 years old in more than 90% of cases. They are rarely reported in adults.Patient concerns:Here, we report on a 37-year-old woman with a firm, hypoechoic 3.3 cm mass in the right upper, outer quadrant of the breast with discomfort, and swelling of the right axillary region.Diagnosis and interventions:She underwent wide excision of the right breast and axillary lesion and the lesion pathologic finding is lymphangioma of the breast.Outcomes:She was in good condition with no signs of postoperative complications and no evidence of recurrence at 6 months postsurgery.Lessons:Despite the rarity of breast cystic lymphangioma, its evaluation should be considered for prompt diagnosis and definitive treatment to prevent recurrence and complications. Furthermore, this is the first case of concomitant lymphangioma of the breast parenchyma and axillary region.

Adult-Onset Cystic Hygroma in Axilla: A Rare Case Report From India and Literature Review

“…Grossly CH may appear as unilocular or multilocular cystic lesions with varying size and is classified as microcystic (size of the cyst less than two cm), macrocystic (size of the cyst more than two cm) and mixed variety [14]. Microscopically CH on H&E staining appears as varying sized dilated lymphatic channels with chronic inflammatory cells in fibrous stroma [3,4,23]. In our case, unilocular macrocystic CH was present in axilla and diagnosis was confirmed on final histopathology.…”

“…Minimally invasive procedures might have been the standard of care for infantile CH but surgical excision is still the mainstay of treatment for adult onset CH as the lesion is well circumscribed [16,21,23]. Few centres have advocated a combined method of conservative excision with deroofing of a cyst plus intralesional sclerotherapy, in cases where complete excision is not possible and damage to vital structures are predicted [16].…”

Pancreatic Cystic Lymphangioma: Case Report and Literature Review

“…Acquired lymphangioma can be a result of fibrosis, inflammation and lymphatic vessel degeneration [1]. Lymphangiomas account for about 5% of tumors in children and are commonly found in the neck region (75%), followed by the axilla (15%) [3,9,10]. Presentation in adulthood is extremely rare, particularly in the pancreas, which accounts for less than 1% of all lymphangiomas [2].…”

“…These benign tumors occur as a result of blockage of lymphatic flow leading to an abnormal dilation of lymph vessels, called lymphangiectasias [2]. Lymphangiomas are generally found in children with 75% of cases presenting in the head and neck region, followed by 15% of cases in the axillary region [3]. Pancreatic lymphangiomas are rare, accounting for less than 0.2% of all pancreatic cysts, and are more common in female patients [4,5].…”

Lymphangioms of the women's reproductive system

“…Sodium tetradecyl sulfate can be used with care for treatment not indicated in circumscriptum lymphangioma. 34 Antibiotics are given for secondary cellulite. The preferred treatment for lymphangiomas is complete surgical excision.…”