Lymphatic malformations
(Redirected from Cystic lymphangioma)
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Lymphatic malformations | |
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Synonyms | Lymphangioma, cystic hygroma |
Pronounce | N/A |
Specialty | N/A |
Symptoms | Soft, spongy masses, swelling, possible infection |
Complications | Infection, bleeding, airway obstruction |
Onset | Congenital (present at birth) |
Duration | Chronic |
Types | N/A |
Causes | Abnormal development of the lymphatic system |
Risks | Genetic syndromes, chromosomal abnormalities |
Diagnosis | Ultrasound, MRI, CT scan |
Differential diagnosis | Hemangioma, teratoma, thyroglossal duct cyst |
Prevention | N/A |
Treatment | Sclerotherapy, surgical excision, laser therapy |
Medication | N/A |
Prognosis | Variable, depending on size and location |
Frequency | Rare |
Deaths | N/A |
Lymphatic malformations are rare, non-malignant masses consisting of fluid-filled channels or spaces thought to be caused by the abnormal development of the lymphatic system. These malformations can occur anywhere in the body but are most commonly found in the head and neck region.
Etiology
Lymphatic malformations are congenital, meaning they are present at birth. They arise from errors in the development of the lymphatic system during embryogenesis. The exact cause of these developmental errors is not well understood, but they are not typically inherited.
Clinical Presentation
Lymphatic malformations can vary greatly in size and appearance. They may present as soft, compressible masses that can be translucent or bluish in color. Symptoms depend on the size and location of the malformation and may include:
- Swelling or a mass
- Pain or discomfort
- Impaired function of nearby structures
- Infection or bleeding
Diagnosis
Diagnosis of lymphatic malformations is typically made through clinical examination and imaging studies. Common imaging modalities include:
- Ultrasound: Useful for initial evaluation and assessment of the cystic nature of the lesion.
- Magnetic Resonance Imaging (MRI): Provides detailed information about the extent and nature of the malformation.
- Computed Tomography (CT): May be used to assess involvement of bony structures.
Treatment
Treatment of lymphatic malformations depends on the size, location, and symptoms. Options include:
- Observation: Small, asymptomatic malformations may not require immediate treatment.
- Sclerotherapy: Injection of a sclerosing agent to shrink the malformation.
- Surgical excision: Removal of the malformation, often used for large or symptomatic lesions.
- Laser therapy: Used for superficial lesions.
Prognosis
The prognosis for individuals with lymphatic malformations varies. Many malformations can be managed effectively with treatment, but recurrence is possible. Complications can arise from infection, bleeding, or compression of vital structures.
Research and Future Directions
Research is ongoing to better understand the genetic and molecular basis of lymphatic malformations. Advances in imaging and minimally invasive treatments continue to improve outcomes for patients.
See Also
External Links
NIH genetic and rare disease info
Lymphatic malformations is a rare disease.
Rare and genetic diseases | ||||||
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Rare diseases - Lymphatic malformations
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Contributors: Prab R. Tumpati, MD