Generalized Lymphangiomatosis: Radiologic Findings in Three Pediatric Patients

  • Yang, Dong-Hyun (Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Goo, Hyun-Woo (Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center)
  • Published : 2006.12.31

Abstract

Generalized lymphangiomatosis is a rare disease that is characterized by widespread bony and soft tissue involvement of lymphangioma. Radiological evaluation is crucial because the site and extent of the lymphangioma are important prognostic factors. We reported here on three cases of generalized lymphangiomatosis and all three cases showed similar radiologic findings, but a different clinical course. The CT, US and MR images showed sharply defined, nonenhanced cystic lesions involving the mediastinum, bones, spleen, lung and lower neck. The whole body MR imaging with the short tau inversion recovery (STIR) sequence showed good capability for evaluating the extent of disease.

Keywords

References

  1. Brown LR, Reiman HM, Rosenow EC 3rd, Gloviczki PM, Divertie MB. Intrathoracic lymphangioma. Mayo Clin Proc 1986;61:882-892
  2. Levey DS, MacCormack LM, Sartoris DJ, Haghighi P, Resnick D, Thorne R. Cystic angiomatosis: case report and review of the literature. Skeletal Radiol 1996;25:287-293 https://doi.org/10.1007/s002560050082
  3. Wunderbaldinger P, Paya K, Partik B, Turetschek K, Hormann M, Horcher E, et al. CT and MR imaging of generalized cystic lymphangiomatosis in pediatric patients. AJR Am J Roentgenol 2000;174:827-832 https://doi.org/10.2214/ajr.174.3.1740827
  4. Singh S, Baboo ML, Pathak IC. Cystic lymphangioma in children: report of 32 children including lesions at rare sites. Surgery 1971;69:947-951
  5. Shah AR, Dinwiddie R, Woolf D, Ramani R, Higgins JN, Matthew DJ. Generalized lymphangiomatosis and chylothorax in the pediatric age group. Pediatr Pulmonol 1992;12:126-130
  6. Canady AI, Chou SN. Cervical lymphangiomatosis with progressive craniospinal deformity. Neurosurgery 1980;6:422- 425
  7. Laffan EE, O'Connor R, Ryan SP, Donoghue VB. Whole-body magnetic resonance imaging: a useful additional sequence in paediatric imaging. Pediatr Radiol 2004;34:472-480 https://doi.org/10.1007/s00247-004-1184-x
  8. Azouz EM, Saigal G, Rodriguez MM, Podda A. Langerhans' cell histiocytosis: pathology, imaging and treatment of skeletal involvement. Pediatr Radiol 2005;35:103-115 https://doi.org/10.1007/s00247-004-1262-0
  9. Scafidi DE, McLeary MS, Young LW. Diffuse neonatal gastrointestinal hemangiomatosis: CT findings. Pediatr Radiol 1998;28:512-514 https://doi.org/10.1007/s002470050397
  10. Rostom AY. Treatment of thoracic lymphangiomatosis. Arch Dis Child 2000;83:138-139 https://doi.org/10.1136/adc.83.2.138