Spontaneous Regression of Lymphangiomas in a Single Center Over 34 Years
Background:. A lymphangioma, also called a lymphatic malformation, is a congenital condition that frequently occurs in young children. It is classified into 3 groups depending on the size of the cysts (macrocystic, microcystic, and mixed). Spontaneous regression occurs in some cases; however, the ch...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2017-09-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001501 |
| _version_ | 1818112177908744192 |
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| author | Motoi Kato, MD Shoji Watanabe, MD, PhD Reiko Kato, MD Hiroshi Kawashima, MD, PhD Takuya Iida, MD, PhD Azusa Watanabe, MD, PhD |
| author_facet | Motoi Kato, MD Shoji Watanabe, MD, PhD Reiko Kato, MD Hiroshi Kawashima, MD, PhD Takuya Iida, MD, PhD Azusa Watanabe, MD, PhD |
| author_sort | Motoi Kato, MD |
| collection | DOAJ |
| description | Background:. A lymphangioma, also called a lymphatic malformation, is a congenital condition that frequently occurs in young children. It is classified into 3 groups depending on the size of the cysts (macrocystic, microcystic, and mixed). Spontaneous regression occurs in some cases; however, the characteristics of patients who show regression have not been studied previously. Furthermore, the types and the timing of the initial treatment are still controversial. Therefore, we statistically analyzed the occurrence of short-term spontaneous regression, patient age at original occurrence, cyst types, cyst sizes, and cyst locations in patients diagnosed with peripheral localized lymphangiomas in a single children center over 34 years.
Methods:. We retrospectively collected the data of 153 patients and reviewed the medical charts.
Results:. Spontaneous regression occurred only in macrocystic or mixed type; regression was most frequent in patients who, at the time of onset, were more than 2 years old.
Conclusions:. We concluded that elderly patients with macrocystic or mixed type lymphangioma may have to wait for treatment for over 3 months from the initial onset. Conversely, microcystic type could not be expected to show regression in a short period, and prompt initiation of the treatments may be required. The difference of the regression or not may depend on the characteristics of the lymph flow. |
| first_indexed | 2024-12-11T03:14:48Z |
| format | Article |
| id | doaj.art-11e8fef22b9444debc1aa4f9c2c413c9 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-11T03:14:48Z |
| publishDate | 2017-09-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-11e8fef22b9444debc1aa4f9c2c413c92022-12-22T01:22:46ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742017-09-0159e150110.1097/GOX.0000000000001501201709000-00014Spontaneous Regression of Lymphangiomas in a Single Center Over 34 YearsMotoi Kato, MD0Shoji Watanabe, MD, PhD1Reiko Kato, MD2Hiroshi Kawashima, MD, PhD3Takuya Iida, MD, PhD4Azusa Watanabe, MD, PhD5From the *Department of Plastic and Reconstructive Surgery, Lymph Clinic, Saitama Children’s Medical Center, Saitma, Japan; †Department of Pediatric Surgery, Saitama Children’s Medical Center, Saitma, Japan; and ‡Department of Plastic and Reconstructive Surgery, The University of Tokyo, Tokyo, Japan.From the *Department of Plastic and Reconstructive Surgery, Lymph Clinic, Saitama Children’s Medical Center, Saitma, Japan; †Department of Pediatric Surgery, Saitama Children’s Medical Center, Saitma, Japan; and ‡Department of Plastic and Reconstructive Surgery, The University of Tokyo, Tokyo, Japan.From the *Department of Plastic and Reconstructive Surgery, Lymph Clinic, Saitama Children’s Medical Center, Saitma, Japan; †Department of Pediatric Surgery, Saitama Children’s Medical Center, Saitma, Japan; and ‡Department of Plastic and Reconstructive Surgery, The University of Tokyo, Tokyo, Japan.From the *Department of Plastic and Reconstructive Surgery, Lymph Clinic, Saitama Children’s Medical Center, Saitma, Japan; †Department of Pediatric Surgery, Saitama Children’s Medical Center, Saitma, Japan; and ‡Department of Plastic and Reconstructive Surgery, The University of Tokyo, Tokyo, Japan.From the *Department of Plastic and Reconstructive Surgery, Lymph Clinic, Saitama Children’s Medical Center, Saitma, Japan; †Department of Pediatric Surgery, Saitama Children’s Medical Center, Saitma, Japan; and ‡Department of Plastic and Reconstructive Surgery, The University of Tokyo, Tokyo, Japan.From the *Department of Plastic and Reconstructive Surgery, Lymph Clinic, Saitama Children’s Medical Center, Saitma, Japan; †Department of Pediatric Surgery, Saitama Children’s Medical Center, Saitma, Japan; and ‡Department of Plastic and Reconstructive Surgery, The University of Tokyo, Tokyo, Japan.Background:. A lymphangioma, also called a lymphatic malformation, is a congenital condition that frequently occurs in young children. It is classified into 3 groups depending on the size of the cysts (macrocystic, microcystic, and mixed). Spontaneous regression occurs in some cases; however, the characteristics of patients who show regression have not been studied previously. Furthermore, the types and the timing of the initial treatment are still controversial. Therefore, we statistically analyzed the occurrence of short-term spontaneous regression, patient age at original occurrence, cyst types, cyst sizes, and cyst locations in patients diagnosed with peripheral localized lymphangiomas in a single children center over 34 years. Methods:. We retrospectively collected the data of 153 patients and reviewed the medical charts. Results:. Spontaneous regression occurred only in macrocystic or mixed type; regression was most frequent in patients who, at the time of onset, were more than 2 years old. Conclusions:. We concluded that elderly patients with macrocystic or mixed type lymphangioma may have to wait for treatment for over 3 months from the initial onset. Conversely, microcystic type could not be expected to show regression in a short period, and prompt initiation of the treatments may be required. The difference of the regression or not may depend on the characteristics of the lymph flow.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001501 |
| spellingShingle | Motoi Kato, MD Shoji Watanabe, MD, PhD Reiko Kato, MD Hiroshi Kawashima, MD, PhD Takuya Iida, MD, PhD Azusa Watanabe, MD, PhD Spontaneous Regression of Lymphangiomas in a Single Center Over 34 Years Plastic and Reconstructive Surgery, Global Open |
| title | Spontaneous Regression of Lymphangiomas in a Single Center Over 34 Years |
| title_full | Spontaneous Regression of Lymphangiomas in a Single Center Over 34 Years |
| title_fullStr | Spontaneous Regression of Lymphangiomas in a Single Center Over 34 Years |
| title_full_unstemmed | Spontaneous Regression of Lymphangiomas in a Single Center Over 34 Years |
| title_short | Spontaneous Regression of Lymphangiomas in a Single Center Over 34 Years |
| title_sort | spontaneous regression of lymphangiomas in a single center over 34 years |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001501 |
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