Lymphangioma surgery

Lymphangioma Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Haytham Allaham, M.D. [2]

Overview

The mainstay of therapy for lymphangioma is surgery. Treatment for lymphangioma involves the removal of the abnormal tissue; however complete removal may be impossible without removing other normal areas. Most patients need at least two procedures done for the removal process to be achieved.

Surgery

• The mainstay of therapy for lymphangioma is surgery.
• Treatment for lymphangioma involves the removal of the abnormal tissue; however complete removal may be impossible without removing other normal areas.
• Most patients need at least two procedures done for the removal process to be achieved.
• Recurrence is possible but unlikely for those lesions able to be removed completely via excisional surgery.
• Draining lymphangiomas of fluid provides only temporary relief, so they are removed surgically.
• The least invasive and most effective form of treatment is now performed by interventional radiologists.
• A sclerosing agent, such as 1% or 3% sodium tetradecyl sulfate, doxycycline, or ethanol, may be directly injected into a lymphocele.
• All sclerosing agents are thought to work by ablating the endothelial cells of the disrupted lymphatics feeding into the lymphocele.
• Lymphangioma circumscription can be healed when treated with a flashlamp pulsed dye laser, although this can cause port-wine stains and other vascular lesions.