1/6. lymphangioma circumscriptum: treatment with hypertonic saline sclerotherapy.A 38-year-old woman came for treatment of multiple clear vesicles and hemorrhagic papules on the posterior aspect of the right shoulder and the right axillary vault of 5 years' duration. These lesions would spontaneously manifest as clear or blood-filled vesicles (or both) and appear to be exacerbated by physical contact from certain articles of clothing. A biopsy was done and the results revealed lymphangioma circumscriptum. The purpose of this case study was to evaluate a new form of treatment of lymphangioma circumscriptum with the use of 23.4% hypertonic saline sclerotherapy. The patient's lymphangioma circumscriptum significantly resolved with minimal side effects, such as mild hyperpigmentation. Decreased sensitivity was noted and no further treatment was indicated. This case showed that hypertonic saline 23.4% solution can be effective in treating the appearance of vesicles containing clear fluid or lymph and those containing red blood cells in superficial lymphangiomas and that this treatment can be considered for long-term management of lymphangioma circumscriptum.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/6. Submandibular cystic hygroma resembling a plunging ranula in a neonate. review and report of a case.Cystic hygromas are large lymphangiomas that are most often found in the posterior triangle of the neck and the axilla in children. They are most frequently found before age 2 and may be massive. After upper respiratory infection, they may become infected and enlarged, causing dysphagia and toxemia. The diagnosis can usually be made by history and physical examination and confirmed by biopsy. Treatment is by surgical excision of small lesions and staged debulking excisions in more severe cases. A patient with a cystic hygroma having many clinical characteristics of a plunging ranula is presented. The cyst fluid was aspirated and analyzed for its amylase, sodium, potassium, chloride, urea nitrogen, glucose, and total protein content. The characteristics of the fluid were also compared with those of lymph and saliva. This report demonstrates the difficulty in determining the diagnosis of a tumor that has the clinical features of a cystic hygroma, as well as a plunging ranula. The necessity of a proper presurgical diagnosis is essential since the form of therapy for each is different and conflicting. A method that distinguishes between the cervical cystic hygroma and a plunging ranula by means of aspirated fluid is discussed.- - - - - - - - - - ranking = 19.892363493775keywords = physical examination, physical (Clic here for more details about this article) |
3/6. Thoracic neuroblastoma presenting as a cystic hygroma.A case of thoracic neuroblastoma with extension into the supraclavicular fossa is described. By physical examination and ultrasound the patient was thought to have a cystic hygroma with mediastinal extension. A 'cystic' neck mass may be the initial presentation of a mediastinal neuroblastoma.- - - - - - - - - - ranking = 19.892363493775keywords = physical examination, physical (Clic here for more details about this article) |
4/6. Retropharyngeal masses in infants and young children.Six patients are described who illustrate different causes of retropharyngeal mass lesions in infants and young children. Differential diagnosis, clinical history, physical examination, and adequate roentgenographic evaluation of the neck are important.- - - - - - - - - - ranking = 19.892363493775keywords = physical examination, physical (Clic here for more details about this article) |
5/6. CT differentiation of large abdominal lymphangioma from ascites.Abdominal lymphangiomas are uncommon benign tumors, usually presenting in early childhood as a palpable abdominal mass. Their sonographic and CT appearance has been well described, and usually consists of well-defined, thin-walled cysts which can be unilocular, or multiloculated, and may contain septations. Rarely, these cysts may be large enough to be confused with ascites on physical exam. We present such a case to emphasize the imaging features that may help in the differentiation between ascites and large mesenteric lymphangiomas.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
6/6. Scrotal lymphangioma.We report a case of scrotal lymphangioma. A 6-year-old boy was referred to our hospital due to a right scrotal mass with tenderness. On physical examination the mass was discriminated from the testis and showed transillumination. Total surgical excision of the mass was performed. The lesion was multicystic, and adherent to the skin. Pathological examination revealed lymphangioma. Total surgical excision is considered the treatment of choice for this disease.- - - - - - - - - - ranking = 19.892363493775keywords = physical examination, physical (Clic here for more details about this article) |