The Treatment Experience of Lymphatic Malformations in Pediatric Patients

Jae Ha Park; So Hyun Nam

doi:10.13029/jkaps.2018.24.1.14

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Park and Nam: The Treatment Experience of Lymphatic Malformations in Pediatric Patients

Original Article

Journal of the Korean Association of Pediatric Surgeons 2018; 24(1): 14-19.

Published online: 30 June 2018

DOI: https://doi.org/10.13029/jkaps.2018.24.1.14

The Treatment Experience of Lymphatic Malformations in Pediatric Patients

Jae Ha Park, So Hyun Nam

Department of Surgery, Dong-A Medical Center, Dong-A University College of Medicine, Busan, Korea.

Correspondence: So Hyun Nam, Department of Surgery, Dong-A University Medical Center, Dong-A University College of Medicine, 26 Daesingongwon-ro, Seo-gu, Busan 49201, Korea. Tel: +82-51-240-5146, Fax: +82-51-247-9316, namsh@dau.ac.kr

Received 12 April 2018 Revised 1 June 2018 Accepted 7 June 2018

Korean Association of Pediatric Surgeons

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The management of lymphatic malformation (LM) in pediatric patients is challenging. Complete excision of LM is difficult to achieve in some cases. We reviewed our experience how to manage LM.

Methods

We retrospectively reviewed the patients who were treated for LM between 2010 and 2017. Medical records were reviewed about age of diagnosis, age of treatment age, gender, symptom, location of tumor, treatment modality, response and complication.

Results

Sixty-three patients (39 boys and 24 girls) were included. Mean age at diagnosis was 14.5±28.0 months (range, neonate-10 years). The involved lesion were head and neck in 27 patients (42.9%), abdominal cavity in 7 patients (11.1%), chest wall and abdominal wall in 11 patients (17.5%), buttock in 7 patients (11.1%), and extremities in 11 patients (17.5%). The treatment options were including surgical resection in 32 patients, sclerotherapy in 7 patients, surgical resection combined sclerotherapy in 19 patients, and close observation in 5 patients. We achieved complete remission in 39 patients. Fourteen patients showed partial remission and 6 showed recurrences.

Conclusion

Despite surgical difficulty, meticulous excision with supportive treatment, and adjuvant sclerotherapy could get a favorable outcome without fatal complication. Decision should be based on surgeon's experience, location of LM, related symptoms, and consultation with patient's parents.

Keywords: Lymphangioma, Sclerotherapy, Picibanil

Figures and Tables

Table 1

Demographic Findings

Values are presented as ratio, mean±SD, or n only.

Table 2

Treatment Modality & Response

Sclero., sclerotherapy; Op., operation; (s), single; (m), multiple.

Table 3

Treatment Response according to Size and Type of Cyst

Notes

^{CONFLICTS OF INTEREST} No potential conflict of interest relevant to this article was reported.

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ORCID iDs: So Hyun Nam
https://orcid.org/0000-0003-3757-4684
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