Clinical analysis of 25 cases of adult cervical lymphangioma

VernacularTitle:成人颈部淋巴管瘤25例临床分析
Author: Yan ZHU ¹ ; Wenbin SHEN ; Yuguang SUN ; Song XIA
Author Information

1. 首都医科大学附属北京世纪坛医院淋巴外科，北京　100038
Keywords: Lymphangioma; Thoracic duct; Lymphangiography
From: Chinese Journal of General Surgery 2022;37(1):31-34
CountryChina
Language:Chinese
Abstract: Objective:To investigate the clinical features, diagnosis, treatment and prognosis of adult cervical lymphangioma.Methods:Twenty-five cases of adult cervical lymphangioma admitted at Department of Lymphatic Surgery of Beijing Shijitan Hospital from Feb 2017 to Jun 2020 were retrospectively analyzed.Results:Among the 25 cases,there were 5 males and 20 females, aged from 18 to 58 years. Radionuclide lymphoscintigraphy performed in 25 cases, increased radioactivity in the neck tumor area was seen in 8 cases; Direct lymphangiography performed in 17 cases,outlet obstruction of cervical thoracic duct was found in 14 cases. Twenty one cases were treated by operation and followed up for 6-47 months. No recurrence was found; 4 cases abandoned surgery, 1 case was lost to follow-up, and the other 3 cases were followed up for 16-48 months with tumor progresses.Conclusions:Adult cervical lymphangioma is lymphangiomalformation disease. Total resection of the tumor and avoiding damage to the thoracic duct is the key for successful management.