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      Rare cystic lymphangioma in the chest wall of an adult patient: A case report and comprehensive review of the literature

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          Abstract

          Lymphangiomatosis is a rare, benign, hyperproliferative hamartoma composed of dilated lymphatic vessels. Cystic lymphangioma (CL) in the chest wall in an adult patient is rare, but we focus on this type of patient in our present case study. A 54‐year‐old female patient with a painless mass in her chest wall went without treatment for two years following diagnosis. After consenting to treatment, Doppler color flow imaging (DCFI), chest CT, and MRI revealed a cystic lesion with multiple thin septula in the left chest. Surgical resection was performed, and histopathological examination identified a cystic lymphangioma. The patient did not experience recurrence during the follow‐up period.

          Abstract

          Cystic lymphangioma is a rare disease occurring infrequently in the chest wall of adult patients. MRI is useful for diagnosis and surgical resection is recommended as the main treatment.

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          Most cited references16

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          Thoracic lymphangiomas, lymphangiectasis, lymphangiomatosis, and lymphatic dysplasia syndrome.

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            Surgical management of intra-abdominal cystic lymphangioma. Report of 20 cases.

            Cystic lymphangioma (CL) is a benign rare malformation of lymphatic vessels. Its discovery in adults is rare. Although it can affect any organ, the common forms found in adults are mesenteric and/or retroperitoneal CL. This article was designed to study the epidemiological, diagnostic difficulties, and therapeutic principles of intra-abdominal cystic lymphangioma in adults. We report a retrospective study from January 1998 to September 2010 concerning 20 patients who underwent surgical removal of a CL. We were interested in discovering the clinical, biological, and radiological characteristics of CL. The localization, size, and number of cysts have been reported, as well as the surgical intervention used and the postoperative immediate and late complications. The median age was 46 years. Abdominal pain was the main symptom and was found in 15 patients (75%). Physical examination revealed an abdominal mass in 12 patients (60%). In four patients (20%), the cystic lymphangioma was incidental. Abdominal ultrasound and abdominal CT scan helped to highlight 22 cystic masses. CL diagnosis was established preoperatively in 13 patients (65%). Six patients (30%) were operated with a diagnosis other than CL. The diagnosis was made intraoperatively in one case (5%). Only two patients (10%) were operated on in emergency: one due to an infected CL and the other was CL complicated with intracystic hemorrhage. A laparotomy in 13 cases (65%) was the surgical approach used, whereas 7 cases (35%) benefited from a laparoscopy. No conversion was noted. The majority of the patients, 18 cases (90%), received a total cystectomy. Only two patients (10%) had recurrences of which only one was reoperated. The diagnosis of CL often is facilitated by means of modern imaging; however, other diagnoses may be discussed, particularly hydatid disease endemic areas. If symptomatic lesions or complications arise, complete surgical excision, when possible without major sacrifice, seems to be the best therapeutic option to reduce the risk of recurrence.
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              Cystic Hygroma: An Overview

              Cystic hygromas are the cystic variety of lymphangioma, common locations being cervico-facial regions and axilla. Respiratory distress, recurrent infections or cosmetic reasons are the main indications of the treatment. The ideal treatment is complete surgical excision; however, there is a gradual conversion towards sclerosant therapy. This article reviews the current literature and discusses the various problems encountered during the management of these lesions.
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                Author and article information

                Contributors
                dchang2005@163.com
                cywork1@sina.com
                Journal
                Thorac Cancer
                Thorac Cancer
                10.1111/(ISSN)1759-7714
                TCA
                Thoracic Cancer
                John Wiley & Sons Australia, Ltd (Melbourne )
                1759-7706
                1759-7714
                28 September 2020
                November 2020
                : 11
                : 11 ( doiID: 10.1111/tca.v11.11 )
                : 3388-3390
                Affiliations
                [ 1 ] Department of Thoracic Surgery, Beijing Friendship Hospital Capital Medical University Beijing China
                Author notes
                [*] [* ] Correspondence

                Yong Cui and Dong Chang, Department of Thoracic Surgery, Beijing Friendship Hospital, Capital Medical University, 95 Yong‐an Road, Xi‐Cheng District, Beijing 100050, China.

                Tel./Fax:+86 10 6313 8767

                Email: dchang2005@ 123456163.com (Chang) or cywork1@ 123456sina.com (Cui)

                Author information
                https://orcid.org/0000-0003-4353-2712
                https://orcid.org/0000-0001-9524-8735
                Article
                TCA13659
                10.1111/1759-7714.13659
                7606011
                32986288
                0dbfbbad-0953-4cc8-97c4-6445d4bf86bc
                © 2020 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 08 August 2020
                : 30 August 2020
                : 30 August 2020
                Page count
                Figures: 0, Tables: 0, Pages: 3, Words: 2288
                Funding
                Funded by: The Wu Jieping Medical Foundation
                Award ID: 320.6750.18475
                Categories
                Case Report
                Case Reports
                Custom metadata
                2.0
                November 2020
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.9.3 mode:remove_FC converted:02.11.2020

                chest wall,cystic lymphangioma,surgical resection
                chest wall, cystic lymphangioma, surgical resection

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