title: Minimally Invasive Management of Complex Recurrent Lymphangioma of the Thorax and Abdomen.
abstract: Lymphangioma is a rare benign proliferation of lymph vessels in the head and neck, axilla, and rarely the mediastinum. We report on the minimally invasive management of a complex recurrence of lymphangioma involving bilateral chest, mediastinum, and abdomen. Given the complexity, the patient underwent debulking of the lymphangioma, ligation of the cisterna chyli, and repeated percutaneous drainage and sclerosing procedures. This report suggests that the use of combined minimally invasive techniques including laparoscopy, thoracoscopy, percutaneous drainage, and sclerosis may be the optimal strategy to manage these complex situations.
authors.affiliation: Georgetown University MedStar Hospital, Washington, DC. Electronic address: jkk48@georgetown.edu.
authors.forename: Joshua K
authors.initials: JK
authors.lastname: Knight
authors.affiliation: Georgetown University MedStar Hospital, Washington, DC.
authors.forename: M Blair
authors.initials: MB
authors.lastname: Marshall
mesh_terms: D000008:Abdominal Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D000328:Adult; D003131:Combined Modality Therapy; D065426:Cytoreduction Surgical Procedures / Q000379:methods; D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008026:Ligation; D008202:Lymphangioma / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D008279:Magnetic Resonance Imaging; D019060:Minimally Invasive Surgical Procedures; D009364:Neoplasm Recurrence, Local / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D016066:Pleural Effusion, Malignant / Q000209:etiology / Q000601:surgery; D018700:Pleurodesis / Q000379:methods; D015911:Sclerotherapy; D013897:Thoracic Duct / Q000601:surgery; D013899:Thoracic Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D013906:Thoracoscopy / Q000379:methods*; D014057:Tomography, X-Ray Computed