Treatment of mediastinal lymphatic malformation in children: an analysis of a nationwide survey in Japan

Ueno, Shinji; Fujino, Akihiro; Morikawa, Yasuhide; Iwanaka, Tadashi; Kinoshita, Yoshiaki; Ozeki, Michio; Nosaka, Shunsuke; Matsuoka, Katsuyoshi; Usui, Noriaki

doi:10.1007/s00595-018-1640-0

Cited by 8 publications

(4 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Lymphatic malformations are classified as macrocystic (cysts larger than approximately 1 cm), microcystic (cysts smaller than approximately 1 cm), or combinations of macrocystic and microcystic malformations. Almost 90% these malformations are diagnosed by the time an individual is aged 2 years (26,27). The most common sites of involvement are the neck, face, and axilla.…”

Section: Vascular Anomaliesmentioning

confidence: 99%

Mediastinal Masses in Children: Radiologic-Pathologic Correlation

Biko¹,

Lichtenberger²,

Rapp³

et al. 2021

RadioGraphics

View full text Add to dashboard Cite

Most pediatric masses in the chest are located in the mediastinum. These masses are often initially detected incidentally on chest radiographs in asymptomatic children, although some patients may present with respiratory symptoms. At chest radiography, the mediastinum has been anatomically divided into anterior, middle, and posterior compartments. However, with the International Thymic Malignancy Interest Group classification scheme, which is based on cross-sectional imaging findings, the mediastinum is divided into prevascular, visceral, and paravertebral compartments. In the prevascular compartment, tumors of thymic origin, lymphomas, germ cell tumors, and vascular tumors are encountered. In the visceral compartment, lymphadenopathy and masses related to the foregut are seen. In the paravertebral compartment, neurogenic tumors are most common. Using the anatomic location in combination with knowledge of the imaging and pathologic features of pediatric mediastinal masses aids in accurate diagnosis of these masses to guide treatment and management decisions.

show abstract

Section: Vascular Anomaliesmentioning

confidence: 99%

Mediastinal Masses in Children: Radiologic-Pathologic Correlation

Biko¹,

Lichtenberger²,

Rapp³

et al. 2021

RadioGraphics

View full text Add to dashboard Cite

show abstract

“…Amy W. Cheng et al [10] performed surgical resection of LM in 3 children with thoracoscopy, which is less invasive, but the intraoperative risks are still relatively high, such as bleeding. Shigeru Ueno et al [11] analyzed previous literatures in mediastinal LMs in Japan. Direct surgical resection of the mediastinal LMs accounted for a relatively low proportion, the potential risks associated with surgery were higher and may be serious.…”

Section: Discussionmentioning

confidence: 99%

Long-term results of sclerotherapy for cervical-thoracic-mediastinal lymphatic and venous malformations: A case report

Luo

2022

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

“…All these localizations can result in airway obstruction, especially when the lesion is in direct contact with the airway 46 . Airway compromise from mediastinal LM is also described 47 …”

Section: Airway Management In Vascular Anomalies Diagnosed After Birthmentioning

confidence: 99%

“…46 Airway compromise from mediastinal LM is also described. 47 Head and neck LMs are staged according to De Serres 45 as stage I, unilateral infrahyoid; stage II, unilateral suprahyoid; stage III, unilateral infrahyoid and suprahyoid; stage IV, bilateral suprahyoid; stage V, bilateral infra and suprahyoid. 45 The risk of complications and recurrences/residual disease after treatment increases with higher stages.…”

Section: Lymphatic Malformationsmentioning

confidence: 99%

Pediatric vascular anomalies with airway compromise

Gorostidi

Glasson

Salati

et al. 2022

J Oral Pathology Medicine

View full text Add to dashboard Cite

Vascular anomalies are rare lesions of diverse nature that may affect the head and neck region. Any mass in or around the upper airway has the potential to obstruct or compromise it. The absolute priority, before etiologic treatment, is the evaluation of the risk for the airway and its management. Prenatal diagnosis of an upper airway obstruction requires a planned delivery in a center having a specialized team experienced in managing a compromised feto-neonatal airway, and who could perform an ex-utero intrapartum treatment to secure the airway. Even after birth, the airway remains central in the patient's overall management. Signs and symptoms of airway compromise must be evaluated keeping in mind the specific requirements of infants and small children and being aware that rapid worsening may occur. The treatment is then tailored to the patient and his lesion with the goal of improving symptoms while avoiding treatment-related complications. Maintaining reasonable expectations by the patient and families are part of a successful management. Cure is achievable for small and localized lesions, but symptom relief and mitigation of functional, esthetic and psychological impairments is the goal for large and complex lesions. If a tracheotomy was required, decannulation is one of the primary management goals.

show abstract

Treatment of mediastinal lymphatic malformation in children: an analysis of a nationwide survey in Japan

Cited by 8 publications

References 21 publications

Mediastinal Masses in Children: Radiologic-Pathologic Correlation

Mediastinal Masses in Children: Radiologic-Pathologic Correlation

Long-term results of sclerotherapy for cervical-thoracic-mediastinal lymphatic and venous malformations: A case report

Pediatric vascular anomalies with airway compromise

Contact Info

Product

Resources

About