Microcystic Lymphatic Malformation (Lymphangioma Circumscriptum) Treated Using a Minimally Invasive Technique of Radiofrequency Ablation and Sclerotherapy

Khunger, Niti; Pahwa, Manish

doi:10.1111/j.1524-4725.2010.01723.x

Cited by 39 publications

(24 citation statements)

References 17 publications

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“…A study with direct puncture sclerotherapy using 20 mg/mL doxycycline reported complete ablation of 179 microcysts without presenting effectiveness per patient (8). As for sclerotherapy of microcystic LM, diverse levels of its effectiveness have been reported by lesion characteristics, treatment methods, sclerosants, and result evaluation criteria (5)(6)(7)(9)(10)(11)(12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

Infusion Sclerotherapy of Microcystic Lymphatic Malformation: Clinico-Radiological Mid-Term Results

Lee

Chung

et al. 2016

J Korean Soc Radiol

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Purpose:A new sclerotherapy technique by slow mechanical infusion of sclerosant was validated for treatment of microcystic lymphatic malformation (mLM). Materials and Methods: Seventeen consecutive patients with mLM in extremities, cervicofacial area, and trunk were included (21.8 ± 21.5 years old, male:female = 5:12). All patients diagnosed as mLM were included. A total 4-32 mL 20-38% OK-432 solution was mechanically infused at the rate of 10 mL/hour into the mLM lesions. The treatment effect was estimated clinic-radiologically at the 4-month follow-up. Repeated sclerotherapy followed in the 6th month, if required. The therapeutic effect was evaluated using quantitative ultrasonographic examination including soft tissue thickness, cyst size and number. Results: In 17 patients, total 31 infusion sclerotherapy sessions were performed and monitored for 425 ± 266 days. Fifteen patients (88%) showed improvement in all symptoms, signs, and ultrasonographic findings. In all cases, at least one finding presented improvement. The maximal number of cysts per ultrasonographic window and maximal diameter of the largest cyst decreased by 57 ± 57% and 51 ± 67%, respectively (p = 0.102, 0.004). The soft tissue thickness decreased by 18 ± 15% (p < 0.01). No significant complications such as distal lymphedema or skin necrosis occurred. Conclusion: Infusion sclerotherapy is a safe and effective treatment technique for microcystic LM, with improved outcome.

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Section: Introductionmentioning

confidence: 99%

Infusion Sclerotherapy of Microcystic Lymphatic Malformation: Clinico-Radiological Mid-Term Results

Lee

Chung

et al. 2016

J Korean Soc Radiol

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“…Bu tedavi yaklaşımların birçoğundan derin komponentlere ulaşımdaki yetersizliği ve multifokal lezyonlara bağlı yüksek nüks oranları nedeniyle yüz güldürücü sonuçlar alınamamaktadır. 2,3,5,9 Tedavi seçeneğinin belirlenmesinde hastanın isteği, semptomların ciddiyeti ve merkezin deneyimi göz önünde bulundurulmalıdır. LS iyi huylu bir hastalık olarak bilindiğinden genellikle konservatif tedavi seçenekleri ön planda tutulmalıdır.…”

Section: Discussionunclassified

Vulvar Lymphangioma circumscriptum: A case report

Taşkın¹,

Öztürk²,

Öztürk³

et al. 2015

BSBD

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“…En düşük nüks oranlarının cerrahi ile olduğu bildirilmekle birlikte her hastada uygulanamayan ve sikatris bırakan bir yöntemdir [2][3][4] . Cerrahi dışındaki diğer tedavi seçenekleri arasında skleroterapi, radyoterapi, X ışınları, kriyoterapi, koterizasyon, radyofrekans enerjisi ve bazı lazerler bulunmaktadır 4,6 . Bu tedavi yaklaşımların birçoğundan derin komponentlere ulaşımdaki yetersizliği ve multifokal lezyonlara bağlı yüksek nüks oranları nedeniyle yüz güldürücü sonuçlar alınamamaktadır 3 .…”

Section: Discussionunclassified

Pulsed dye Lazer Tedavisi Uygulanan Bir Lenfanjioma Sirkumskriptum Olgusu

...

2012

Turkderm

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ÖzetLenfanjioma sirkumskriptum (LS) genişlemiş dermal lenfatik damarlardan oluşan yüzeyel bir vaskular malformasyondur. Klinik olarak içeriğinde genellikle berrak lenf sıvısı bulunmakla birlikte bazen hemorajiye bağlı olarak kırmızı kan hücrelerini de içeren gruplaşmış translusan veziküller izlenebilir. Vasküler lezyonlarda etkili olduğu bilinen pulsed dye lazer (PDL)'in bu tip hemorajik özellik gösteren lenfanjiomlarda da başarılı olarak kullanılabileceği ileri sürülmüştür. Literatürde PDL tedavisi uygulanan ve lezyonları büyük oranda gerileyen LS'lu iki olgu bildirilmiştir. Burada sol omzunda bazıları hemorajik karakterde kabarcıkları olan ve PDL tedavisine yetersiz kısmi yanıt veren LS'lu 14 yaşında bir kız olgu sunulmaktadır. (Türk derm 2012; 46: 107-9) Anah tar Ke li me ler: Lenfanjioma sirkumskriptum, pulsed dye lazer Sum maryLymphangioma circumscriptum (LS) is a superficial lymphatic malformation which consists of dilated lymphatic channels. Clinically, it presents as grouped translucent vesicles, which usually contain clear lymph fluid but may also contain red blood cells due to hemorrhage. It has been suggested that pulsed dye laser (PDL), which efficacy is known in vascular lesions, has also been successfully used for such lympangiomas with hemorrhagic character. In the literature, two patients who had LS and whose lesions responded well to PDL treatment have been reported. Here, we describe a 14-year-old woman with LS who had vesicles on her left shoulder some of which showed hemorrhagic character and who gave an inadequate partial response to the treatment with PDL. (Turk derm 2012; 46: 107-9

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Microcystic Lymphatic Malformation (Lymphangioma Circumscriptum) Treated Using a Minimally Invasive Technique of Radiofrequency Ablation and Sclerotherapy

Cited by 39 publications

References 17 publications

Infusion Sclerotherapy of Microcystic Lymphatic Malformation: Clinico-Radiological Mid-Term Results

Infusion Sclerotherapy of Microcystic Lymphatic Malformation: Clinico-Radiological Mid-Term Results

Vulvar Lymphangioma circumscriptum: A case report

Pulsed dye Lazer Tedavisi Uygulanan Bir Lenfanjioma Sirkumskriptum Olgusu

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