Lymphangioma: Imaging diagnosis

Pui, Margaret H.; Li, Zi Ping; Chen, Wei; Chen, Jian Hun

doi:10.1111/j.1440-1673.1997.tb00726.x

Cited by 18 publications

(16 citation statements)

References 20 publications

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“…1 The highest incidence of lymphangioma is during infancy, and most appear by age 30, with very few cases reported in later life. 2 The condition affects males and females equally; it can be congenital or acquired, and the two are usually indistinguishable.…”

Section: Discussionmentioning

confidence: 99%

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Scrotal lymphangiomatosis: a case report

Wong

Melnyk

Tang

et al. 2013

CUAJ

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Lymphangiomas are benign tumours of the lymphatic system, and there are several reported cases of scrotal lymphangioma in the literature to date. We report a rare case of multilocular cutaneous lymphangiomatosis treated with surgical excision (total scrotectomy and reconstruction using split-thickness skin grafts with vacuum-assisted closure dressing). Case reportA 39-year-old healthy male presented with a 20-year history of recurrent, complicated scrotal lymphangiomatosis. The lesions had previously been treated with local excision and cauterization, laser ablation and cryotherapy, but the lymphangiomas recurred quicker and denser in number following each treatment. The patient was referred to our urology clinic in 2007 with complaints of perineal pain. Physical examination demonstrated the scrotum itself was nodular and thickened with innumerable cutaneous lymphangiomas, with complete sparing of the penile skin. Following discussion with the patient, a continued conservative approach was initially exercised with antibiotic treatment and suppression of chronic scrotal cellulitis without surgical consideration of the lesions themselves. Despite this, the patient continued to suffer from recurrent infections of spontaneously ruptured lesions. Given the ineffectiveness of conservative therapy, the notable confinement of lymphangiomas to the scrotal skin ( Fig. 1), and the ongoing psychological impact of the condition on the patient, a decision was made to escalate to surgical management consisting of total scrotectomy with reconstruction.The patient was brought to the operating room, and following induction of general anesthesia, a "W" incision was made along the baseline such that the entire scrotum was incorporated while leaving skin 1 cm above the anus intact, thus forming a shape resembling the letter "W" (Fig. 2). The scrotum, including the epithelium, dermis, and superficial subcutaneous tissues, were dissected off using a combination of #15 blade and the Metzenbaum scissors (Fig. 2). While the scrotectomy was being performed, the split-thickness graft was harvested from a shaved area on the right donor thigh. The Zimmer dermatome (Zimmer Inc., United Kingdom) set to 12/1000 of an inch was used to harvest the skin graft, which was then meshed in a 1.5:1 fashion, and used to cover the area of defect. The borders of the graft were stapled in place, and then further quilted into place using 4-0 Vicryl sutures (Fig. 3). A vacuum-assisted closure (VAC) sponge was conformed to the skin-grafted area and reinforced with additional OpSite (Smith & Nephew Healthcare, United Kingdom) dressings.At one-month follow-up, there were a few small areas of delayed healing, overall good take of the graft, and no recurrence of scrotal lymphangiomatosis (Fig. 4). The shaft of the penis appeared to remain well-vascularized. The patient reported little pain, and was able to have normal erections with no chordee or deviation. The six-month follow-up showed almost complete healing, and no recurrence was observed (Fig. 5). Dis...

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Section: Discussionmentioning

confidence: 99%

“…[1][2][3]5,[8][9][10] A survey of 80 patients with cutaneous lymphangiomas showed that 75% of the lesions are cured with one surgical excision, and 13% with a second excision. 7 These cases involved lymphangioma of chest, thigh, buttock, neck and axilla; scrotal lymphangiomas were rare.…”

mentioning

confidence: 99%

Scrotal lymphangiomatosis: a case report

Wong

Melnyk

Tang

et al. 2013

CUAJ

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“…These have several shared pathological characteristics which lead to difficulties in differential diagnosis. 16 …”

Section: Workupmentioning

confidence: 99%

“…These treatment have less success rate but more toxicity. 16,17 Treatment with propranolol, sirolimus and bevacizumab has been shown to decrease recurrent pleural effusions and lymphatic proliferation with less severe toxicity are the recent treatment modalities. Other treatment options include palliative surgical treatment or the use of sclerosing agents, such as OK-432 and palliative irradiation can be useful.…”

Section: Treatmentmentioning

confidence: 99%

A rare case of pulmonary lymphangiomatosis from the tribal zone of central India

Khunte¹,

Beck²,

Khunte

et al. 2015

Int J Res Med Sci

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“…1,7 Assessment by ultrasonography, CT, and MRI, is very important for the diagnosis of a mesenteric lymphangioma. 10,11 The typical CT feature of mesenteric lymphangioma is a multiloculated fluid-filled mass. Characteristic thin walls and septa also can be seen on a CT scan.…”

Section: 27mentioning

confidence: 99%