Cystic Lymphangioma in the Chest Wall of the Child - A case report -

소아의 흉벽에 발생된 림프관종 - 1예 보고 -

  • Jang In-Seok (Department of Thoracic and Cardiovascular Surgery, Institute of Health Science, College of Medicine, Gyeongsang National University) ;
  • Kim Sung-Whan (Department of Thoracic and Cardiovascular Surgery, Institute of Health Science, College of Medicine, Gyeongsang National University) ;
  • Yang Jun-Ho (Department of Thoracic and Cardiovascular Surgery, Institute of Health Science, College of Medicine, Gyeongsang National University) ;
  • Kim Jong-Woo (Department of Thoracic and Cardiovascular Surgery, Institute of Health Science, College of Medicine, Gyeongsang National University) ;
  • Choi Jun-Young (Department of Thoracic and Cardiovascular Surgery, Institute of Health Science, College of Medicine, Gyeongsang National University) ;
  • Rhie Sang-Ho (Department of Thoracic and Cardiovascular Surgery, Institute of Health Science, College of Medicine, Gyeongsang National University)
  • 장인석 (경상대학교 의과대학 흉부외과학교실, 건강과학연구원) ;
  • 김성환 (경상대학교 의과대학 흉부외과학교실, 건강과학연구원) ;
  • 양준호 (경상대학교 의과대학 흉부외과학교실, 건강과학연구원) ;
  • 김종우 (경상대학교 의과대학 흉부외과학교실, 건강과학연구원) ;
  • 최준영 (경상대학교 의과대학 흉부외과학교실, 건강과학연구원) ;
  • 이상호 (경상대학교 의과대학 흉부외과학교실, 건강과학연구원)
  • Published : 2006.08.01

Abstract

Lymphangioma is a developmental anomaly that is known to occur in the neck and axilla, and only rarely in the mediastinum, retroperitoneum, groin and pelvis. An isolated chest wall lymphangioma is a rare benign neoplasm. In case of large sized lymphangioma, surgical excision is preferably recommended as the treatment of choice. We operated on a three-year old female for excision of chest wall. In pathologic diagnosis, it diagnosed the mass as chest wall lymphangioma.

림프관종은 대부분 목이나 액와부에 발생되며, 드물게 종격동, 후복강, 서혜부와 골반강 내에서 발생이 보고된다. 흉벽에 국한된 림프관종은 드물게 발견되는 양성종양이며, 종괴의 크기가 큰 경우에는 외과적인 절제술이 치료방법으로 추천된다. 3세 여아의 흉벽에 발생된 큰 종괴를 절제하였다. 조직학적인 검사에서 림프관종으로 진단되었다.

Keywords

References

  1. Yildirim E, Dural K, Kaplan T, Sakinci U. Cystic lymphangioma: report of two atypical cases. Interact Cardiovasc Thorac Surg 2004;3:63-5 https://doi.org/10.1016/S1569-9293(03)00225-1
  2. Watt AJ. Chest wall lesions. J Pediatr Surg 1999;34:1276-9 https://doi.org/10.1016/S0022-3468(99)90168-9
  3. Fonnkaisurd EW. Disorders of the lymphatic system. In: Welch KJ, Randolph JG, Ravitch MM, O'Neill Jr JA, Rowe MI. Paediatric Surgery Vol 2. Chicago: Year Book Medical Publishers Inc. 1986;1506
  4. Papagiannopoulos K, Van Raemdonck DE, De Boeck K, Lerut T. Pediatric thoracic lymphangiomatosis: is chest wall resection too radical? Paediatr Respir Rev 2002;3:328-38 https://doi.org/10.1016/S1526-0542(02)00270-1
  5. Robbins SL, Cotran RS, Kumar V. Blood vessels. In: Robbins SL, Cotran RS, Kumar V. Pathologic basis of disease. 7th ed. Philadelphia: WB Saunders Co. 1984;544
  6. Kim YJ, Lee CJ, Soh DM, et al. Lymphangioma of the chest wall. Korean J Thorac Cardiovasc Surg 1999;32:855-7
  7. Won JH, Kim BM, Kim CH, Park SW, Kim MD. Percutaneous sclerotherapy of lymphangiomas with acetic acid. Vasc Interv Radiol 2004;15:595-600 https://doi.org/10.1097/01.RVI.0000127899.31047.0E