An unusual case of a large cystic swelling in thigh: cystic lymphangioma in an adult

An unusual case of a large cystic swelling in thigh: cystic lymphangioma in an adult Cystic lymphangioma is a rare congenital malformation found almost exclusively in the pediatric age group. Approximately 100 adult cases have been reported in the literature, mostly in the head and neck region. Trauma has been suggested as a possible etiology in the development of such lesions in adults. We report a case of cystic lymphangioma in the lower limb of an adult, which is so far the largest one reported and may support this theory. The patient developed the lesion after sustaining trauma to the left thigh in a road traffic accident. It subsequently progressed to a massive size over 20 years. The histopathology of the excised lesion showed evidence of an organized hematoma supporting the theory of trauma as a likely etiology in the development of these lesions in adults. A relevant review of the literature is also presented. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

An unusual case of a large cystic swelling in thigh: cystic lymphangioma in an adult

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Publisher
Springer-Verlag
Copyright
Copyright © 2009 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-008-0283-6
Publisher site
See Article on Publisher Site

Abstract

Cystic lymphangioma is a rare congenital malformation found almost exclusively in the pediatric age group. Approximately 100 adult cases have been reported in the literature, mostly in the head and neck region. Trauma has been suggested as a possible etiology in the development of such lesions in adults. We report a case of cystic lymphangioma in the lower limb of an adult, which is so far the largest one reported and may support this theory. The patient developed the lesion after sustaining trauma to the left thigh in a road traffic accident. It subsequently progressed to a massive size over 20 years. The histopathology of the excised lesion showed evidence of an organized hematoma supporting the theory of trauma as a likely etiology in the development of these lesions in adults. A relevant review of the literature is also presented.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Apr 1, 2009

References

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