Giant cystic lymphangioma breast. Report of a case with 20-year follow-up and review of the literature

Víctor Manuel Vargas-Hernández José María Tovar-Rodríguez Mario Adán Moreno-Euti

2014, Number 1

<< Back Next >>

Cir Cir 2014; 82 (1)

Giant cystic lymphangioma breast. Report of a case with 20-year follow-up and review of the literature

Vargas-Hernández VM, Tovar-Rodríguez JM, Moreno-Eutimio MA, Acosta-Altamirano G

Full text

How to cite this article

Language: Spanish
References: 15
Page: 81-86
PDF size: 330.64 Kb.

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.
Clinical case: 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.
Discussion: 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.
Conclusion: In this first case of giant breast cystic lymphangioma reported in Mexico, which corroborates the benignity of the lesion.

REFERENCES

Ogita S, Tsuto T, Tokiwa K, Takahashi T. Intracystic injection of OK-432: a new sclerosing therapy for cystic hygroma in children. B J Surg 1987;74:690-691.
Torcasio A, Veneroso S, Amabile MI, Biffoni M, Martino G, Monti M, et al. Cystic hygroma of the breast: A rare lesion. Tumori 2006;92:347-350.
de Guerke L, Baron M, Dessogne P, Callonnec F, d’Anjou J. Cystic lymphangioma of the breast. Breast J 2005;11:515- 516.
Sa EJ, Choi YH. Cystic lymphangioma of the breast. J Clin Ultrasound 1999;27:351-352.
Kangesu T. Cystic hygroma of the breast in childhood. Br J Clin Pract 1990;44:787-788.
Sieber PR, Sharkey FE. Cystic hygroma of the breast. Arch Pathol Lab Med 1986;110:353.
Kurosumi M, Nomoto C, Suemasu K, Hígashi Y, Matsui T, Takubo K, et al. Cavernous Lymphangioma of the Breast- Case Report with Electron Microscopic and Immunohistochemical Investigations. Jpn J Clin Oncol 1991;21:129-134.
Chiba T, Ibrahim M. Cavernous lymphangioma of the breast: case report of an infant. Nippon Geka Hokan. Archiv fur Japanische Chirugie 1995;64:23-26.
Waqar SN, Khan H, Mekan SF, Kayani N, Raja AJ. Cystic Breast Lymphangioma. J Pak Med Assoc 2004;54:531-533.
Chung SY, Oh KK, Kim DJ. Mammographic and Sonographic Findings of a Breast Cystic Lymphangioma. J Ultrasound Med 2003;22:307-309.
Alqahtani A, Nguyen LT, Flageole H, Shaw K, Larberge JM. 25 Years’ experience with lymphangiomas in children. J Pediatr Surg 1999;34:1164-1168.
Weiss SW, Goldblum JR. Enzinger and Weiss’s Soft tissue tumours. 4. St Louis: Mosby; Tumour of Lymph vessels 2001;955-998.
Ogun GO, Oyetunde O, Akang EE. Cavermous lymphangioma of the breast. World J Surg Oncol 2007;20:69.
Kwon SS, Kim SJ, Kim L, Kim YJ. Huge cystic lymphangioma involving the entire breast. Ann Plast Surg 2009;62:18-21.
Sasi W, Schneider C, Shah R, Ruffles T, Bhagwat P, Mokbel K, et al. Recurrent cystic lymphangioma of the breast: case report and literature review. Breast Dis 2010;31:43-47.