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Ben Hamouda H, Gasmi O, Wannes S, Korbi A, Belguith M, Jerbi S, Soua H, Souissi MM, Hamza H, Nouri A, Sfar MT. [Prenatal diagnosis of a giant cystic lymphangioma in the axillothoracic wall]. Arch Pediatr 2014; 21:1011-5. [PMID: 25089042 DOI: 10.1016/j.arcped.2014.06.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2013] [Revised: 02/20/2014] [Accepted: 06/11/2014] [Indexed: 11/30/2022]
Abstract
Cystic lymphangiomas are benign malformative tumors of the lymphatic vessels, rare but potentially serious and usually located in the cervical region. The diagnosis is usually easy, but the treatment is sometimes difficult because of their location and extension into the surrounding tissue. We report a case of giant cystic lymphangioma of the right axillary-thoracic wall diagnosed by prenatal ultrasound at 20 weeks gestation. The male infant was born at 37 weeks gestation with a large, swelling, lateral parietal right chest. Ultrasound soft tissue and chest CT scan confirmed the diagnosis of giant cystic lymphangioma of the right axillary-thoracic wall. Surgical excision was performed on the 21st day after birth and the mass was excised incompletely. The postoperative course was uncomplicated. Ultrasound soft tissue follow-up showed the persistence of multiple cystic structures in the axilla. Prenatal diagnosis of these tumors is essential for planning multidisciplinary management in early postnatal care.
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Affiliation(s)
- H Ben Hamouda
- Service de pédiatrie et de néonatologie, CHU Tahar Sfar, 5111 Mahdia, Tunisie.
| | - O Gasmi
- Service de pédiatrie et de néonatologie, CHU Tahar Sfar, 5111 Mahdia, Tunisie
| | - S Wannes
- Service de pédiatrie et de néonatologie, CHU Tahar Sfar, 5111 Mahdia, Tunisie
| | - A Korbi
- Service de gynéco-obstétrique, CHU Tahar Sfar, 5111 Mahdia, Tunisie
| | - M Belguith
- Service de chirurgie pédiatrique, CHU Fattouma Bourghuiba, 5000 Monastir, Tunisie
| | - S Jerbi
- Service de radiologie, CHU Tahar Sfar, 5111 Mahdia, Tunisie
| | - H Soua
- Service de pédiatrie et de néonatologie, CHU Tahar Sfar, 5111 Mahdia, Tunisie
| | - M M Souissi
- Service de gynéco-obstétrique, CHU Tahar Sfar, 5111 Mahdia, Tunisie
| | - H Hamza
- Service de radiologie, CHU Tahar Sfar, 5111 Mahdia, Tunisie
| | - A Nouri
- Service de chirurgie pédiatrique, CHU Fattouma Bourghuiba, 5000 Monastir, Tunisie
| | - M T Sfar
- Service de pédiatrie et de néonatologie, CHU Tahar Sfar, 5111 Mahdia, Tunisie
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