Document Type
Article
Department
Cardiothoracic Surgery
Abstract
Surgical excision was once considered the mainstay of treatment for lymphangiomas. However, that paradigm is now changing with sclerotherapy emerging as a viable alternative. A 22-year-old girl presented with a mucopurulent and painful discharge from an extensive wound in the trunk. Chest roentogram showed a large soft tissue abnormality with multiple calcifications in the right upper abdomen and lower thorax. Magnetic resonance imaging revealed an extensive lobulated mass measuring 27 x 19 cm. Due to the extensive involvement of tissues, surgical excision did not appear to be a favourable option in this case. Local injections of bleomycin were successfully administered; resulting in complete regression of the lesion. There has been no recurrence at 2 years of follow up. Use of bleomycin sclerotherapy appears to be a safe and effective management strategy and obviates the need for primary surgery especially in extensive lymphangiomas.
Publication ( Name of Journal)
Journal of the Pakistan Medical Association
Recommended Citation
Khalid, U.,
Fatimi, S.,
Saleem, T.
(2010). Giant unresectable lymphangioma of the trunk managed via intra-tumour injections of bleomycin. Journal of the Pakistan Medical Association, 60(7), 605-7.
Available at:
https://ecommons.aku.edu/pakistan_fhs_mc_surg_cardiothoracic/17