title: [Giant cystic lymphangioma breast. Report of a case with 20-year follow-up and review of the literature].
abstract: BACKGROUND
  Lymphangiomas are congenital malformations or acquired (secondary to trauma, infection or neoplasia) in the mammary gland, are extremely rare. These lesions tend to infiltrate surrounding tissues and malignant degeneration is extremely rare. Clinically manifests as benign masses, slow growing; diagnosed clinically and by imaging studies. Suegery with removal of the mass is performed for aesthetic reasons and to make differential diagnosis with other common injuries.
  
  
  METHODS
  Women 45 years of age with progressive increase in size of the left breast, breast trauma concerns and has no other symptoms.The histologic diagnosis was cystic lymphangioma giant left mammary gland.
  
  
  CONCLUSIONS
  Lymphangiomas are uncommon lesions and extremely rare in the mammary gland, locally aggresive behavior and are benign, where abnormal lymphatic tissue has some ability to proliferate and accumulate large amounts of liquid, representing cystic appearance, as presented in our case. Local surgical excision is the treatment.
  
  
  CONCLUSIONS
  In this first case of giant breast cystic lymphangioma reported in Mexico, which corroborates the benignity of the lesion.
authors.affiliation: Dirección de Investigación. Hospital Juárez de México, México DF, Mexico. vvargashernandez@yahoo.com.mx.
authors.forename: Víctor Manuel
authors.initials: VM
authors.lastname: Vargas-Hernández
authors.affiliation: >Dirección de Investigación. Hospital Juárez de México, México DF, Mexico.
authors.forename: José María
authors.initials: JM
authors.lastname: Tovar-Rodríguez
authors.affiliation: >Dirección de Investigación. Hospital Juárez de México, México DF, Mexico.
authors.forename: Mario Adán
authors.initials: MA
authors.lastname: Moreno-Eutimio
authors.affiliation: >Dirección de Investigación. Hospital Juárez de México, México DF, Mexico.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Acosta-Altamirano
mesh_terms: D001706:Biopsy; D001940:Breast / Q000293:injuries; D001943:Breast Neoplasms / Q000175:diagnosis / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D020420:Cyst Fluid; D003937:Diagnosis, Differential; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008067:Lipoma; D008200:Lymphangiectasis / Q000175:diagnosis; D018192:Lymphangioleiomyomatosis / Q000175:diagnosis; D018191:Lymphangioma, Cystic / Q000175:diagnosis / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D016609:Neoplasms, Second Primary; D010051:Ovarian Neoplasms; D012983:Soft Tissue Neoplasms
keywords: Mammary gland; benign breast tumors; glándula mamaria; linfangioma; lymphangioma; tumores benignos de mama