1887
Volume 2023, Issue 3
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Lymphangiomas are congenital malformations of the lymphatic system, mostly well-circumscribed and cystic. Although many theories were proposed to explain etiology, it is still controversial. Most of these lesions are found in the cervicofacial region, while the scalp is considered a scarce location, with only a few reported cases in the literature. Herein, we report a case of scalp lymphangioma in a 33-year-old male, which unexpectedly and significantly progressed in size over one year. The MRI scan characteristics were unique compared to the literature description of the lymphangioma, as it appeared hypointense in both T1WI and T2WI with inhomogeneous contrast enhancement, eventually consistent with lymphangioma on histopathology. The patient underwent surgical excision of the mass without any recurrence over a follow-up period of 1 year.

Loading

Article metrics loading...

/content/journals/10.5339/qmj.2023.18
2023-08-08
2024-05-19
Loading full text...

Full text loading...

/deliver/fulltext/qmj/2023/3/qmj.2023.18.html?itemId=/content/journals/10.5339/qmj.2023.18&mimeType=html&fmt=ahah

References

  1. Zadvinskis DP, Benson MT, Kerr HH, Mancuso AA, Cacciarelli AA, Madrazo BL, et al. Congenital malformations of the cervicothoracic lymphatic system: Embryology and pathogenesis. Radiographics. 1992 Nov; 12:(6):1175–89.
    [Google Scholar]
  2. Filston HC. Hemangiomas, cystic hygromas, and teratomas of the head and neck. Semin Pediatr Surg. 1994; 3:(3):147–59.
    [Google Scholar]
  3. Stringel G. Hemangiomas and lymphangiomas. In: Ashcraft KW, ed. Pediatric Surgery. 3rd edn. Philadelphia: WB Saunders; 2000: 965–86.
    [Google Scholar]
  4. Kennedy TL. Cystic hygroma-lymphangioma: A rare and still unclear entity. Laryngoscope. 1989; 99::1–10.
    [Google Scholar]
  5. Kato M, Watanabe S, Kato R, Kawashima H, Iida T, Watanabe A. Spontaneous regression of lymphangiomas in a single center over 34 years. Plast Reconstr Surg Glob Open. 2017; 5:(9):e1501.
    [Google Scholar]
  6. Kraus J, Plzák J, Bruschini R, Renne G, Andrle J, Ansarin M, et al. Cystic lymphangioma of the neck in adults: A report of three cases. Wien Klin Wochenschr. 2008; 120:(7–8):242–5. doi: 10.1007/s00508-008-0950-4.
    [Google Scholar]
  7. Kennedy TL, Whitaker M, Pellitteri P, Wood WE. Cystic hygroma/lymphangioma: A rational approach to management. Laryngoscope. 2001 Nov; 111:(11):1929–37.
    [Google Scholar]
  8. Ozen IO, Moralioglu S, Karabulut R, Demirogullari B, Sonmez K, Turkyilmaz Z, et al. Surgical treatment of cervicofacial cystic hygromas in children. J Otorhinolaryngol Relat Spec. 2005; 67:(6):331–4.
    [Google Scholar]
  9. Dillon P. Lymphatic and venous disorders. In: Surgery of Infants and Children: Scientific Principles and Practice. Philadelphia: Lippincott-Raven; 1997: 1727–43.
    [Google Scholar]
  10. Walter JB, Israel MS. General pathology. 6th edn. Edinburgh: Churchill Livingstone; l987: 377–9.
    [Google Scholar]
  11. Okazaki T, Iwatani S, Yanai T, Kobayashi H, Kato Y, Marusasa T, et al. Treatment of lymphangioma in children: Our experience of 128 cases. J Pediatr Surg. 2007; 42:(2):386–9.
    [Google Scholar]
  12. Emery PJ, Bailey CM, Evans JN. Cystic hygroma of the head and neck: A review of 37 cases. J Laryngol Otol. 1984 Jun; 98:(6):613–9.
    [Google Scholar]
  13. Jiao-Ling L, Hai-Ying W, Wei Z, Jin-Rong L, Kun-Shan C, Qian F. Treatment and prognosis of fetal lymphangioma. Eur J Obstet Gynecol Reprod Biol. 2018 Dec 1; 231::274–9.
    [Google Scholar]
  14. Nanson EM. Lymphangioma (cystic hygroma) of the mediastinum. J Cardiovasc Surg (Torino). 1968; 9:(5):447–52.
    [Google Scholar]
  15. Rosenquist CJ, Wolfe DC. Lymphangioma of bone. J Bone Joint Surg Am. 1968; 50:(1):158–62.
    [Google Scholar]
  16. Inci S, Bavbek M, Ozcan OE, Onol B, Gedikoglu G. Lymphangioma of the scalp. Turk Neurosurg. 1992; 2::203–206.
    [Google Scholar]
  17. Wernher A. Die angeborenen Kysten-Hygrome und die ihnen verwandten Geschwülste, in anatomischer, diagnostischer und therapeutischer Beziehung: Denkschrift zur Feier des 50jährigen Doctor-Jubiläums des Dr. Wilhelm Nebel. Germany: Heyer; 1843.
    [Google Scholar]
  18. Orvidas LJ, Kasperbauer JL. Pediatric lymphangiomas of the head and neck. Ann Otol Rhinol Laryngol. 2000; 109:(4):411–21.
    [Google Scholar]
  19. Colangeli W, Facchini V, Kapitonov A, Zappalà M, Bozza F, Becelli R. Cystic lymphangioma in adult: A case report and a review of the literature. J Surg Case Rep. 2020; 2020:(7):rjaa179.
    [Google Scholar]
  20. Suk S, Sheridan M, Saenger JS. Adult lymphangioma: A case report. Ear Nose Throat J. 1997; 76:(12):881–3.
    [Google Scholar]
  21. Hazim M, Moses SS, Tan IP. Intralesional Injection of OK-432 in Cystic Hygroma. Med J Malaysia. 2016; 71:(6):328–30.
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.5339/qmj.2023.18
Loading
/content/journals/10.5339/qmj.2023.18
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error