Skip to main content
Top
Published in: Pediatric Surgery International 5/2016

01-05-2016 | Review Article

Pediatric lymphatic malformations: evolving understanding and therapeutic options

Authors: Ann M. Defnet, Naina Bagrodia, Sonia L. Hernandez, Natalie Gwilliam, Jessica J. Kandel

Published in: Pediatric Surgery International | Issue 5/2016

Login to get access

Abstract

Multimodal treatment of lymphatic malformations continues to expand as new information about the biology and genetics of these lesions is discovered, along with knowledge gained from clinical practice. A patient-centered approach, ideally provided by a multidisciplinary medical and surgical team, should guide timing and modality of treatment. Current treatment options include observation, surgery, sclerotherapy, radiofrequency ablation, and laser therapy. New medical and surgical therapies are emerging, and include sildenafil, propranolol, sirolimus, and vascularized lymph node transfer. The primary focus of management is to support and optimize these patients’ quality of life. Researchers continue to study lymphatic malformations with the goal of increasing therapeutic options and developing effective clinical pathways for these complicated lesions.
Literature
1.
go back to reference Kennedy TL, Whitaker M, Pellitteri P, Wood WE (2001) Cystic hygroma/lymphangioma: a rational approach to management. Laryngoscope 111:1929–1937PubMedCrossRef Kennedy TL, Whitaker M, Pellitteri P, Wood WE (2001) Cystic hygroma/lymphangioma: a rational approach to management. Laryngoscope 111:1929–1937PubMedCrossRef
2.
go back to reference Wassef M, Blei F, Adams D et al (2015) Vascular anomalies classification: recommendations from the international society for the study of vascular anomalies. Pediatrics 136:e203–e214PubMedCrossRef Wassef M, Blei F, Adams D et al (2015) Vascular anomalies classification: recommendations from the international society for the study of vascular anomalies. Pediatrics 136:e203–e214PubMedCrossRef
3.
4.
go back to reference Florez-Vargas A, Vargas SO, Debelenko LV et al (2008) Comparative analysis of D2-40 and LYVE-1 immunostaining in lymphatic malformations. Lymphology 41:103–110PubMed Florez-Vargas A, Vargas SO, Debelenko LV et al (2008) Comparative analysis of D2-40 and LYVE-1 immunostaining in lymphatic malformations. Lymphology 41:103–110PubMed
5.
go back to reference Bruder E, Perez-Atayde AR, Jundt G et al (2009) Vascular lesions of bone in children, adolescents, and young adults. A clinicopathologic reappraisal and application of the ISSVA classification. Virchows Arch 454:161–179PubMedCrossRef Bruder E, Perez-Atayde AR, Jundt G et al (2009) Vascular lesions of bone in children, adolescents, and young adults. A clinicopathologic reappraisal and application of the ISSVA classification. Virchows Arch 454:161–179PubMedCrossRef
6.
go back to reference Schook CC, Mulliken JB, Fishman SJ et al (2011) Primary lymphedema: clinical features and management in 138 pediatric patients. Plast Reconstr Surg 127:2419–2431PubMedCrossRef Schook CC, Mulliken JB, Fishman SJ et al (2011) Primary lymphedema: clinical features and management in 138 pediatric patients. Plast Reconstr Surg 127:2419–2431PubMedCrossRef
7.
go back to reference Connell F, Brice G, Mortimer P (2008) Phenotypic characterization of primary lymphedema. Ann N Y Acad Sci 1131:140–146PubMedCrossRef Connell F, Brice G, Mortimer P (2008) Phenotypic characterization of primary lymphedema. Ann N Y Acad Sci 1131:140–146PubMedCrossRef
8.
go back to reference Scholl J, Durfee SM, Russell MA et al (2012) First-trimester cystic hygroma: relationship of nuchal translucency thickness and outcomes. Obstet Gynecol 120:551–559PubMedCrossRef Scholl J, Durfee SM, Russell MA et al (2012) First-trimester cystic hygroma: relationship of nuchal translucency thickness and outcomes. Obstet Gynecol 120:551–559PubMedCrossRef
9.
go back to reference Yadav P, De Castro DK, Waner M et al (2013) Vascular anomalies of the head and neck: a review of genetics. Semin Ophthalmol 28:257–266PubMedCrossRef Yadav P, De Castro DK, Waner M et al (2013) Vascular anomalies of the head and neck: a review of genetics. Semin Ophthalmol 28:257–266PubMedCrossRef
11.
12.
go back to reference Zhou F, Chang Z, Zhang L et al (2010) Akt/Protein kinase B is required for lymphatic network formation, remodeling, and valve development. Am J Pathol 177:2124–2133PubMedPubMedCentralCrossRef Zhou F, Chang Z, Zhang L et al (2010) Akt/Protein kinase B is required for lymphatic network formation, remodeling, and valve development. Am J Pathol 177:2124–2133PubMedPubMedCentralCrossRef
13.
14.
go back to reference Boscolo E, Coma S, Luks VL et al (2015) AKT hyper-phosphorylation associated with PI3K mutations in lymphatic endothelial cells from a patient with lymphatic malformation. Angiogenesis 18:151–162PubMedPubMedCentralCrossRef Boscolo E, Coma S, Luks VL et al (2015) AKT hyper-phosphorylation associated with PI3K mutations in lymphatic endothelial cells from a patient with lymphatic malformation. Angiogenesis 18:151–162PubMedPubMedCentralCrossRef
15.
go back to reference Makinen T, Veikkola T, Mustjoki S et al (2001) Isolated lymphatic endothelial cells transduce growth, survival and migratory signals via the VEGF-C/D receptor VEGFR-3. EMBO J 20:4762–4773PubMedPubMedCentralCrossRef Makinen T, Veikkola T, Mustjoki S et al (2001) Isolated lymphatic endothelial cells transduce growth, survival and migratory signals via the VEGF-C/D receptor VEGFR-3. EMBO J 20:4762–4773PubMedPubMedCentralCrossRef
16.
go back to reference Karkkainen MJ, Haiko P, Sainio K et al (2004) Vascular endothelial growth factor C is required for sprouting of the first lymphatic vessels from embryonic veins. Nat Immunol 5:74–80PubMedCrossRef Karkkainen MJ, Haiko P, Sainio K et al (2004) Vascular endothelial growth factor C is required for sprouting of the first lymphatic vessels from embryonic veins. Nat Immunol 5:74–80PubMedCrossRef
17.
go back to reference Dellinger MT, Hunter RJ, Bernas MJ et al (2007) Chy-3 mice are Vegfc haploinsufficient and exhibit defective dermal superficial to deep lymphatic transition and dermal lymphatic hypoplasia. Dev Dyn 236:2346–2355PubMedCrossRef Dellinger MT, Hunter RJ, Bernas MJ et al (2007) Chy-3 mice are Vegfc haploinsufficient and exhibit defective dermal superficial to deep lymphatic transition and dermal lymphatic hypoplasia. Dev Dyn 236:2346–2355PubMedCrossRef
18.
go back to reference Jeltsch M, Kaipainen A, Joukov V et al (1997) Hyperplasia of lymphatic vessels in VEGF-C transgenic mice. Science 276:1423–1425PubMedCrossRef Jeltsch M, Kaipainen A, Joukov V et al (1997) Hyperplasia of lymphatic vessels in VEGF-C transgenic mice. Science 276:1423–1425PubMedCrossRef
19.
go back to reference Villefranc JA, Nicoli S, Bentley K et al (2013) A truncation allele in vascular endothelial growth factor c reveals distinct modes of signaling during lymphatic and vascular development. Development 140:1497–1506PubMedPubMedCentralCrossRef Villefranc JA, Nicoli S, Bentley K et al (2013) A truncation allele in vascular endothelial growth factor c reveals distinct modes of signaling during lymphatic and vascular development. Development 140:1497–1506PubMedPubMedCentralCrossRef
20.
go back to reference Connell FC, Ostergaard P, Carver C et al (2009) Analysis of the coding regions of VEGFR3 and VEGFC in Milroy disease and other primary lymphoedemas. Hum Genet 124:625–631PubMedCrossRef Connell FC, Ostergaard P, Carver C et al (2009) Analysis of the coding regions of VEGFR3 and VEGFC in Milroy disease and other primary lymphoedemas. Hum Genet 124:625–631PubMedCrossRef
21.
go back to reference Irrthum A, Karkkainen MJ, Devriendt K et al (2000) Congenital hereditary lymphedema caused by a mutation that inactivates VEGFR3 tyrosine kinase. Am J Hum Genet 67:295–301PubMedPubMedCentralCrossRef Irrthum A, Karkkainen MJ, Devriendt K et al (2000) Congenital hereditary lymphedema caused by a mutation that inactivates VEGFR3 tyrosine kinase. Am J Hum Genet 67:295–301PubMedPubMedCentralCrossRef
22.
go back to reference Karkkainen MJ, Ferrell RE, Lawrence EC et al (2000) Missense mutations interfere with VEGFR-3 signalling in primary lymphoedema. Nat Genet 25:153–159PubMedCrossRef Karkkainen MJ, Ferrell RE, Lawrence EC et al (2000) Missense mutations interfere with VEGFR-3 signalling in primary lymphoedema. Nat Genet 25:153–159PubMedCrossRef
23.
go back to reference Gordon K, Schulte D, Brice G et al (2013) Mutation in vascular endothelial growth factor-C, a ligand for vascular endothelial growth factor receptor-3, is associated with autosomal dominant milroy-like primary lymphedema. Circ Res 112:956–960PubMedCrossRef Gordon K, Schulte D, Brice G et al (2013) Mutation in vascular endothelial growth factor-C, a ligand for vascular endothelial growth factor receptor-3, is associated with autosomal dominant milroy-like primary lymphedema. Circ Res 112:956–960PubMedCrossRef
24.
25.
go back to reference King PD, Lubeck BA, Lapinski PE (2013) Nonredundant functions for RAS GTPase-activating proteins in tissue homeostasis. Sci Signal 6:re1PubMedCrossRef King PD, Lubeck BA, Lapinski PE (2013) Nonredundant functions for RAS GTPase-activating proteins in tissue homeostasis. Sci Signal 6:re1PubMedCrossRef
26.
go back to reference Burrows PE, Gonzalez-Garay ML, Rasmussen JC et al (2013) Lymphatic abnormalities are associated with RASA1 gene mutations in mouse and man. Proc Natl Acad Sci USA 110:8621–8626PubMedPubMedCentralCrossRef Burrows PE, Gonzalez-Garay ML, Rasmussen JC et al (2013) Lymphatic abnormalities are associated with RASA1 gene mutations in mouse and man. Proc Natl Acad Sci USA 110:8621–8626PubMedPubMedCentralCrossRef
27.
go back to reference Lapinski PE, Kwon S, Lubeck BA et al (2012) RASA1 maintains the lymphatic vasculature in a quiescent functional state in mice. J Clin Investig 122:733–747PubMedPubMedCentralCrossRef Lapinski PE, Kwon S, Lubeck BA et al (2012) RASA1 maintains the lymphatic vasculature in a quiescent functional state in mice. J Clin Investig 122:733–747PubMedPubMedCentralCrossRef
28.
29.
go back to reference Surico D, Amadori R, D’Ajello P et al (2013) Antenatal diagnosis of fetal lymphangioma by ultrasonography. Eur J Obstet Gynecol Reprod Biol 168:236PubMedCrossRef Surico D, Amadori R, D’Ajello P et al (2013) Antenatal diagnosis of fetal lymphangioma by ultrasonography. Eur J Obstet Gynecol Reprod Biol 168:236PubMedCrossRef
30.
go back to reference Aslan A, Buyukkaya R, Tan S et al (2013) Efficacy of ultrasonography in lymphatic malformations: diagnosis, treatment and follow-up: a case report. Med Ultrasonogr 15:244–246CrossRef Aslan A, Buyukkaya R, Tan S et al (2013) Efficacy of ultrasonography in lymphatic malformations: diagnosis, treatment and follow-up: a case report. Med Ultrasonogr 15:244–246CrossRef
31.
go back to reference Adaletli I, Towbin AJ, Ozbayrak M, Madazli R (2013) Anterior mediastinal lymphangioma: pre- and postnatal sonographic findings. J Clin Ultrasound 41:383–385PubMedCrossRef Adaletli I, Towbin AJ, Ozbayrak M, Madazli R (2013) Anterior mediastinal lymphangioma: pre- and postnatal sonographic findings. J Clin Ultrasound 41:383–385PubMedCrossRef
32.
go back to reference Koelblinger C, Herold C, Nemec S et al (2013) Fetal magnetic resonance imaging of lymphangiomas. J Perinat Med 41:437–443PubMedCrossRef Koelblinger C, Herold C, Nemec S et al (2013) Fetal magnetic resonance imaging of lymphangiomas. J Perinat Med 41:437–443PubMedCrossRef
33.
go back to reference Calvo-Garcia MA, Kline-Fath BM, Adams DM et al (2015) Imaging evaluation of fetal vascular anomalies. Pediatr Radiol 45:1218–1229PubMedCrossRef Calvo-Garcia MA, Kline-Fath BM, Adams DM et al (2015) Imaging evaluation of fetal vascular anomalies. Pediatr Radiol 45:1218–1229PubMedCrossRef
34.
go back to reference Liu NF, Yan ZX, Wu XF (2012) Classification of lymphatic-system malformations in primary lymphoedema based on MR lymphangiography. Eur J Vasc Endovasc Surg 44:345–349PubMedCrossRef Liu NF, Yan ZX, Wu XF (2012) Classification of lymphatic-system malformations in primary lymphoedema based on MR lymphangiography. Eur J Vasc Endovasc Surg 44:345–349PubMedCrossRef
35.
go back to reference Colletti G, Valassina D, Bertossi D et al (2014) Contemporary management of vascular malformations. J Oral Maxillofac Surg 72:510–528PubMedCrossRef Colletti G, Valassina D, Bertossi D et al (2014) Contemporary management of vascular malformations. J Oral Maxillofac Surg 72:510–528PubMedCrossRef
36.
go back to reference Schoinohoriti OK, Theologie-Lygidakis N, Tzerbos F, Iatrou I (2012) Lymphatic malformations in children and adolescents. J Craniofac Surg 23:1744–1747PubMedCrossRef Schoinohoriti OK, Theologie-Lygidakis N, Tzerbos F, Iatrou I (2012) Lymphatic malformations in children and adolescents. J Craniofac Surg 23:1744–1747PubMedCrossRef
37.
go back to reference Bajaj Y, Hewitt R, Ifeacho S, Hartley BE (2011) Surgical excision as primary treatment modality for extensive cervicofacial lymphatic malformations in children. Int J Pediatr Otorhinolaryngol 75:673–677PubMedCrossRef Bajaj Y, Hewitt R, Ifeacho S, Hartley BE (2011) Surgical excision as primary treatment modality for extensive cervicofacial lymphatic malformations in children. Int J Pediatr Otorhinolaryngol 75:673–677PubMedCrossRef
38.
go back to reference Berg EE, Sobol SE, Jacobs I (2013) Laryngeal obstruction by cervical and endolaryngeal lymphatic malformations in children: proposed staging system and review of treatment. Ann Otol Rhinol Laryngol 122:575–581PubMedCrossRef Berg EE, Sobol SE, Jacobs I (2013) Laryngeal obstruction by cervical and endolaryngeal lymphatic malformations in children: proposed staging system and review of treatment. Ann Otol Rhinol Laryngol 122:575–581PubMedCrossRef
39.
go back to reference Adams MT, Saltzman B, Perkins JA (2012) Head and neck lymphatic malformation treatment: a systematic review. Otolaryngol Head Neck Surg 147:627–639PubMedCrossRef Adams MT, Saltzman B, Perkins JA (2012) Head and neck lymphatic malformation treatment: a systematic review. Otolaryngol Head Neck Surg 147:627–639PubMedCrossRef
40.
go back to reference Balakrishnan K, Edwards TC, Perkins JA (2012) Functional and symptom impacts of pediatric head and neck lymphatic malformations: developing a patient-derived instrument. Otolaryngol Head Neck Surg 147:925–931PubMedCrossRef Balakrishnan K, Edwards TC, Perkins JA (2012) Functional and symptom impacts of pediatric head and neck lymphatic malformations: developing a patient-derived instrument. Otolaryngol Head Neck Surg 147:925–931PubMedCrossRef
41.
go back to reference Hill RH III, Shiels WE II, Foster JA et al (2012) Percutaneous drainage and ablation as first line therapy for macrocystic and microcystic orbital lymphatic malformations. Ophthal Plast Reconstr Surg 28:119–125PubMedCrossRef Hill RH III, Shiels WE II, Foster JA et al (2012) Percutaneous drainage and ablation as first line therapy for macrocystic and microcystic orbital lymphatic malformations. Ophthal Plast Reconstr Surg 28:119–125PubMedCrossRef
42.
go back to reference Perkins JA, Manning SC, Tempero RM et al (2010) Lymphatic malformations: review of current treatment. Otolaryngol Head Neck Surg 142:795–803, 803 e791 Perkins JA, Manning SC, Tempero RM et al (2010) Lymphatic malformations: review of current treatment. Otolaryngol Head Neck Surg 142:795–803, 803 e791
43.
go back to reference Puig S, Casati B, Staudenherz A, Paya K (2005) Vascular low-flow malformations in children: current concepts for classification, diagnosis and therapy. Eur J Radiol 53:35–45PubMedCrossRef Puig S, Casati B, Staudenherz A, Paya K (2005) Vascular low-flow malformations in children: current concepts for classification, diagnosis and therapy. Eur J Radiol 53:35–45PubMedCrossRef
44.
go back to reference Tempero RM, Hannibal M, Finn LS et al (2006) Lymphocytopenia in children with lymphatic malformation. Arch Otolaryngol Head Neck Surg 132:93–97PubMedCrossRef Tempero RM, Hannibal M, Finn LS et al (2006) Lymphocytopenia in children with lymphatic malformation. Arch Otolaryngol Head Neck Surg 132:93–97PubMedCrossRef
45.
go back to reference Jamal N, Ahmed S, Miller T et al (2012) Doxycycline sclerotherapy for pediatric head and neck macrocystic lymphatic malformations: a case series and review of the literature. Int J Pediatr Otorhinolaryngol 76:1127–1131PubMedCrossRef Jamal N, Ahmed S, Miller T et al (2012) Doxycycline sclerotherapy for pediatric head and neck macrocystic lymphatic malformations: a case series and review of the literature. Int J Pediatr Otorhinolaryngol 76:1127–1131PubMedCrossRef
46.
go back to reference Sandler G, Adams S, Taylor C (2009) Paediatric vascular birthmarks—the psychological impact and the role of the GP. Aust Fam Physician 38:169–171PubMed Sandler G, Adams S, Taylor C (2009) Paediatric vascular birthmarks—the psychological impact and the role of the GP. Aust Fam Physician 38:169–171PubMed
47.
go back to reference Kirkham EM, Edwards TC, Weaver EM et al (2015) The lymphatic malformation function (LMF) instrument. Otolaryngol Head Neck Surg 153:656–662PubMedCrossRef Kirkham EM, Edwards TC, Weaver EM et al (2015) The lymphatic malformation function (LMF) instrument. Otolaryngol Head Neck Surg 153:656–662PubMedCrossRef
48.
go back to reference Mattila KA, Kervinen K, Kalajoki-Helmio T et al (2015) An interdisciplinary specialist team leads to improved diagnostics and treatment for paediatric patients with vascular anomalies. Acta Paediatr 104:1109–1116PubMedCrossRef Mattila KA, Kervinen K, Kalajoki-Helmio T et al (2015) An interdisciplinary specialist team leads to improved diagnostics and treatment for paediatric patients with vascular anomalies. Acta Paediatr 104:1109–1116PubMedCrossRef
49.
go back to reference Alqahtani A, Nguyen LT, Flageole H et al (1999) 25 Years’ experience with lymphangiomas in children. J Pediatr Surg 34:1164–1168PubMedCrossRef Alqahtani A, Nguyen LT, Flageole H et al (1999) 25 Years’ experience with lymphangiomas in children. J Pediatr Surg 34:1164–1168PubMedCrossRef
50.
go back to reference Mulliken JB, Fishman SJ, Burrows PE (2000) Vascular anomalies. Curr Prob Surg 37:517–584CrossRef Mulliken JB, Fishman SJ, Burrows PE (2000) Vascular anomalies. Curr Prob Surg 37:517–584CrossRef
51.
go back to reference Manning SC, Perkins J (2013) Lymphatic malformations. Curr Opin Otolaryngol Head Neck Surg 21:571–575PubMedCrossRef Manning SC, Perkins J (2013) Lymphatic malformations. Curr Opin Otolaryngol Head Neck Surg 21:571–575PubMedCrossRef
52.
go back to reference Laje P, Peranteau WH, Hedrick HL et al (2015) Ex utero intrapartum treatment (EXIT) in the management of cervical lymphatic malformation. J Pediatr Surg 50:311–314PubMedCrossRef Laje P, Peranteau WH, Hedrick HL et al (2015) Ex utero intrapartum treatment (EXIT) in the management of cervical lymphatic malformation. J Pediatr Surg 50:311–314PubMedCrossRef
53.
go back to reference Sheikh F, Akinkuotu A, Olutoye OO et al (2015) Prenatally diagnosed neck masses: long-term outcomes and quality of life. J Pediatr Surg 50:1210–1213PubMedCrossRef Sheikh F, Akinkuotu A, Olutoye OO et al (2015) Prenatally diagnosed neck masses: long-term outcomes and quality of life. J Pediatr Surg 50:1210–1213PubMedCrossRef
54.
go back to reference Gilony D, Schwartz M, Shpitzer T et al (2012) Treatment of lymphatic malformations: a more conservative approach. J Pediatr Surg 47:1837–1842PubMedCrossRef Gilony D, Schwartz M, Shpitzer T et al (2012) Treatment of lymphatic malformations: a more conservative approach. J Pediatr Surg 47:1837–1842PubMedCrossRef
55.
go back to reference Marwan A, Crombleholme TM (2006) The EXIT procedure: principles, pitfalls, and progress. Semin Pediatr Surg 15:107–115PubMedCrossRef Marwan A, Crombleholme TM (2006) The EXIT procedure: principles, pitfalls, and progress. Semin Pediatr Surg 15:107–115PubMedCrossRef
56.
go back to reference Eivazi B, Teymoortash A, Wiegand S et al (2010) Intralesional endoscopy of advanced lymphatic malformations of the head and neck: a new diagnostic approach and a potential therapeutic tool. Arch Otolaryngol Head Neck Surg 136:790–795PubMedCrossRef Eivazi B, Teymoortash A, Wiegand S et al (2010) Intralesional endoscopy of advanced lymphatic malformations of the head and neck: a new diagnostic approach and a potential therapeutic tool. Arch Otolaryngol Head Neck Surg 136:790–795PubMedCrossRef
57.
go back to reference Gaied F, Emil S (2012) Laparoscopic excision of a gastric lymphatic malformation. Am Surg 78:E232–E234PubMed Gaied F, Emil S (2012) Laparoscopic excision of a gastric lymphatic malformation. Am Surg 78:E232–E234PubMed
58.
go back to reference Acevedo JL, Shah RK, Brietzke SE (2008) Nonsurgical therapies for lymphangiomas: a systematic review. Otolaryngol Head Neck Surg 138:418–424PubMedCrossRef Acevedo JL, Shah RK, Brietzke SE (2008) Nonsurgical therapies for lymphangiomas: a systematic review. Otolaryngol Head Neck Surg 138:418–424PubMedCrossRef
59.
go back to reference Farnoosh S, Don D, Koempel J et al (2015) Efficacy of doxycycline and sodium tetradecyl sulfate sclerotherapy in pediatric head and neck lymphatic malformations. Int J Pediatr Otorhinolaryngol 79:883–887PubMedCrossRef Farnoosh S, Don D, Koempel J et al (2015) Efficacy of doxycycline and sodium tetradecyl sulfate sclerotherapy in pediatric head and neck lymphatic malformations. Int J Pediatr Otorhinolaryngol 79:883–887PubMedCrossRef
60.
go back to reference Leung M, Leung L, Fung D et al (2014) Management of the low-flow head and neck vascular malformations in children: the sclerotherapy protocol. Eur J Pediatr Surg 24:97–101PubMedCrossRef Leung M, Leung L, Fung D et al (2014) Management of the low-flow head and neck vascular malformations in children: the sclerotherapy protocol. Eur J Pediatr Surg 24:97–101PubMedCrossRef
61.
go back to reference Mulligan PR, Prajapati HJ, Martin LG, Patel TH (2014) Vascular anomalies: classification, imaging characteristics and implications for interventional radiology treatment approaches. Br J Radiol 87:20130392PubMedPubMedCentralCrossRef Mulligan PR, Prajapati HJ, Martin LG, Patel TH (2014) Vascular anomalies: classification, imaging characteristics and implications for interventional radiology treatment approaches. Br J Radiol 87:20130392PubMedPubMedCentralCrossRef
62.
go back to reference Hoff SR, Rastatter JC, Richter GT (2015) Head and neck vascular lesions. Otolaryngol Clin North Am 48:29–45PubMedCrossRef Hoff SR, Rastatter JC, Richter GT (2015) Head and neck vascular lesions. Otolaryngol Clin North Am 48:29–45PubMedCrossRef
63.
go back to reference Weitz-Tuoretmaa A, Rautio R, Valkila J et al (2014) Efficacy of OK-432 sclerotherapy in treatment of lymphatic malformations: long-term follow-up results. Eur Arch Otorhinolaryngol 271:385–390PubMedCrossRef Weitz-Tuoretmaa A, Rautio R, Valkila J et al (2014) Efficacy of OK-432 sclerotherapy in treatment of lymphatic malformations: long-term follow-up results. Eur Arch Otorhinolaryngol 271:385–390PubMedCrossRef
64.
go back to reference Molitch HI, Unger EC, Witte CL, van Sonnenberg E (1995) Percutaneous sclerotherapy of lymphangiomas. Radiology 194:343–347PubMedCrossRef Molitch HI, Unger EC, Witte CL, van Sonnenberg E (1995) Percutaneous sclerotherapy of lymphangiomas. Radiology 194:343–347PubMedCrossRef
65.
go back to reference Shergill A, John P, Amaral JG (2012) Doxycycline sclerotherapy in children with lymphatic malformations: outcomes, complications and clinical efficacy. Pediatr Radiol 42:1080–1088PubMedCrossRef Shergill A, John P, Amaral JG (2012) Doxycycline sclerotherapy in children with lymphatic malformations: outcomes, complications and clinical efficacy. Pediatr Radiol 42:1080–1088PubMedCrossRef
66.
go back to reference Alomari AI, Karian VE, Lord DJ et al (2006) Percutaneous sclerotherapy for lymphatic malformations: a retrospective analysis of patient-evaluated improvement. J Vasc Interv Radiol 17:1639–1648PubMedCrossRef Alomari AI, Karian VE, Lord DJ et al (2006) Percutaneous sclerotherapy for lymphatic malformations: a retrospective analysis of patient-evaluated improvement. J Vasc Interv Radiol 17:1639–1648PubMedCrossRef
67.
go back to reference Hurewitz AN, Lidonicci K, Wu CL et al (1994) Histologic changes of doxycycline pleurodesis in rabbits. Effect of concentration and pH. Chest 106:1241–1245PubMedCrossRef Hurewitz AN, Lidonicci K, Wu CL et al (1994) Histologic changes of doxycycline pleurodesis in rabbits. Effect of concentration and pH. Chest 106:1241–1245PubMedCrossRef
68.
go back to reference Cordes BM, Seidel FG, Sulek M et al (2007) Doxycycline sclerotherapy as the primary treatment for head and neck lymphatic malformations. Otolaryngol Head Neck Surg 137:962–964PubMedCrossRef Cordes BM, Seidel FG, Sulek M et al (2007) Doxycycline sclerotherapy as the primary treatment for head and neck lymphatic malformations. Otolaryngol Head Neck Surg 137:962–964PubMedCrossRef
69.
go back to reference Nehra D, Jacobson L, Barnes P et al (2008) Doxycycline sclerotherapy as primary treatment of head and neck lymphatic malformations in children. J Pediatr Surg 43:451–460PubMedCrossRef Nehra D, Jacobson L, Barnes P et al (2008) Doxycycline sclerotherapy as primary treatment of head and neck lymphatic malformations in children. J Pediatr Surg 43:451–460PubMedCrossRef
70.
go back to reference Burrows PE, Mitri RK, Alomari A et al (2008) Percutaneous sclerotherapy of lymphatic malformations with doxycycline. Lymphat Res Biol 6:209–216PubMedCrossRef Burrows PE, Mitri RK, Alomari A et al (2008) Percutaneous sclerotherapy of lymphatic malformations with doxycycline. Lymphat Res Biol 6:209–216PubMedCrossRef
71.
go back to reference Luo QF, Gan YH (2013) Pingyangmycin with triamcinolone acetonide effective for treatment of lymphatic malformations in the oral and maxillofacial region. J Craniomaxillofac Surg 41:345–349PubMedCrossRef Luo QF, Gan YH (2013) Pingyangmycin with triamcinolone acetonide effective for treatment of lymphatic malformations in the oral and maxillofacial region. J Craniomaxillofac Surg 41:345–349PubMedCrossRef
72.
go back to reference Orford J, Barker A, Thonell S et al (1995) Bleomycin therapy for cystic hygroma. J Pediatr Surg 30:1282–1287PubMedCrossRef Orford J, Barker A, Thonell S et al (1995) Bleomycin therapy for cystic hygroma. J Pediatr Surg 30:1282–1287PubMedCrossRef
73.
go back to reference Muir T, Kirsten M, Fourie P et al (2004) Intralesional bleomycin injection (IBI) treatment for haemangiomas and congenital vascular malformations. Pediatr Surg Int 19:766–773PubMedCrossRef Muir T, Kirsten M, Fourie P et al (2004) Intralesional bleomycin injection (IBI) treatment for haemangiomas and congenital vascular malformations. Pediatr Surg Int 19:766–773PubMedCrossRef
74.
go back to reference Zheng JW, Qin ZP, Zhang ZY (2005) Management of lymphatic malformations in oral and maxillofacial regions: the rationale according to the new classification. Shanghai J Stomatolo 14:553–556 Zheng JW, Qin ZP, Zhang ZY (2005) Management of lymphatic malformations in oral and maxillofacial regions: the rationale according to the new classification. Shanghai J Stomatolo 14:553–556
75.
go back to reference Mai HM, Zheng JW, Zhou Q et al (2013) Intralesional injection of pingyangmycin is a safe and effective treatment for microcystic lymphatic malformations in the tongue. Phlebol Venous Forum R Soc Med 28:147–152CrossRef Mai HM, Zheng JW, Zhou Q et al (2013) Intralesional injection of pingyangmycin is a safe and effective treatment for microcystic lymphatic malformations in the tongue. Phlebol Venous Forum R Soc Med 28:147–152CrossRef
76.
go back to reference Bai Y, Jia J, Huang XX et al (2009) Sclerotherapy of microcystic lymphatic malformations in oral and facial regions. J Oral Maxillofac Sur 67:251–256CrossRef Bai Y, Jia J, Huang XX et al (2009) Sclerotherapy of microcystic lymphatic malformations in oral and facial regions. J Oral Maxillofac Sur 67:251–256CrossRef
77.
go back to reference Shiels WE II, Kang DR, Murakami JW et al (2009) Percutaneous treatment of lymphatic malformations. Otolaryngol Head Neck Surg 141:219–224PubMedCrossRef Shiels WE II, Kang DR, Murakami JW et al (2009) Percutaneous treatment of lymphatic malformations. Otolaryngol Head Neck Surg 141:219–224PubMedCrossRef
78.
go back to reference Balakrishnan K, Menezes MD, Chen BS et al (2014) Primary surgery vs primary sclerotherapy for head and neck lymphatic malformations. Otolaryngol Head Neck Surg 140:41–45CrossRef Balakrishnan K, Menezes MD, Chen BS et al (2014) Primary surgery vs primary sclerotherapy for head and neck lymphatic malformations. Otolaryngol Head Neck Surg 140:41–45CrossRef
79.
go back to reference Alghonaim Y, Varshney R, Sands N, Daniel SJ (2012) Coblation technique as an alternative treatment modality for oral lymphangioma. Int J Pediatr Otorhinolaryngol 76:1526–1527PubMedCrossRef Alghonaim Y, Varshney R, Sands N, Daniel SJ (2012) Coblation technique as an alternative treatment modality for oral lymphangioma. Int J Pediatr Otorhinolaryngol 76:1526–1527PubMedCrossRef
80.
go back to reference Grimmer JF, Mulliken JB, Burrows PE, Rahbar R (2006) Radiofrequency ablation of microcystic lymphatic malformation in the oral cavity. Arch Otolaryngol Head Neck Surg 132:1251–1256PubMedCrossRef Grimmer JF, Mulliken JB, Burrows PE, Rahbar R (2006) Radiofrequency ablation of microcystic lymphatic malformation in the oral cavity. Arch Otolaryngol Head Neck Surg 132:1251–1256PubMedCrossRef
81.
go back to reference Leboulanger N, Roger G, Caze A et al (2008) Utility of radiofrequency ablation for haemorrhagic lingual lymphangioma. Int J Pediatr Otorhinolaryngol 72:953–958PubMedCrossRef Leboulanger N, Roger G, Caze A et al (2008) Utility of radiofrequency ablation for haemorrhagic lingual lymphangioma. Int J Pediatr Otorhinolaryngol 72:953–958PubMedCrossRef
82.
go back to reference Balakrishnan K, Perkins J (2012) Management of head and neck lymphatic malformations. Facial Plast Surg 28:596–602PubMedCrossRef Balakrishnan K, Perkins J (2012) Management of head and neck lymphatic malformations. Facial Plast Surg 28:596–602PubMedCrossRef
83.
go back to reference Thottam PJ, Al-Barazi R, Madgy DN, Rozzelle A (2013) Submucosal resection of a microcystic oropharyngeal lymphatic malformation using radiofrequency ablation. Int J Pediatr Otorhinolaryngol 77:1589–1592PubMedCrossRef Thottam PJ, Al-Barazi R, Madgy DN, Rozzelle A (2013) Submucosal resection of a microcystic oropharyngeal lymphatic malformation using radiofrequency ablation. Int J Pediatr Otorhinolaryngol 77:1589–1592PubMedCrossRef
84.
go back to reference Kim SW, Kavanagh K, Orbach DB et al (2011) Long-term outcome of radiofrequency ablation for intraoral microcystic lymphatic malformation. Arch Otolaryngol Head Neck Surg 137:1247–1250PubMedCrossRef Kim SW, Kavanagh K, Orbach DB et al (2011) Long-term outcome of radiofrequency ablation for intraoral microcystic lymphatic malformation. Arch Otolaryngol Head Neck Surg 137:1247–1250PubMedCrossRef
85.
go back to reference Colbert SD, Seager L, Haider F et al (2013) Lymphatic malformations of the head and neck-current concepts in management. Br J Oral Maxillofac Surg 51:98–102PubMedCrossRef Colbert SD, Seager L, Haider F et al (2013) Lymphatic malformations of the head and neck-current concepts in management. Br J Oral Maxillofac Surg 51:98–102PubMedCrossRef
86.
go back to reference Civelek S, Sayin I, Ercan I et al (2012) Bipolar radiofrequency-induced interstitial thermoablation for oral cavity vascular malformations: preliminary results in a series of 5 children. Ear Nose Throat J 91:488–492PubMed Civelek S, Sayin I, Ercan I et al (2012) Bipolar radiofrequency-induced interstitial thermoablation for oral cavity vascular malformations: preliminary results in a series of 5 children. Ear Nose Throat J 91:488–492PubMed
87.
go back to reference Franca K, Chacon A, Ledon J et al (2013) Lasers for cutaneous congenital vascular lesions: a comprehensive overview and update. Lasers Med Sci 28:1197–1204PubMedCrossRef Franca K, Chacon A, Ledon J et al (2013) Lasers for cutaneous congenital vascular lesions: a comprehensive overview and update. Lasers Med Sci 28:1197–1204PubMedCrossRef
88.
go back to reference Shumaker PR, Dela Rosa KM, Krakowski A (2013) Treatment of lymphangioma circumscriptum using fractional carbon dioxide laser ablation. Pediatr Dermatol 30:584–586PubMedCrossRef Shumaker PR, Dela Rosa KM, Krakowski A (2013) Treatment of lymphangioma circumscriptum using fractional carbon dioxide laser ablation. Pediatr Dermatol 30:584–586PubMedCrossRef
89.
go back to reference Torezan LA, Careta MF, Osorio N (2013) Intra-oral lymphangioma successfully treated using fractional carbon dioxide laser. Dermatol Surg 39:816–817PubMedCrossRef Torezan LA, Careta MF, Osorio N (2013) Intra-oral lymphangioma successfully treated using fractional carbon dioxide laser. Dermatol Surg 39:816–817PubMedCrossRef
90.
go back to reference Tsilika K, Bahadoran P, Passeron T (2013) Superficial lymphangioma treated with fractional ablative laser: a case report with clinical and reflectance confocal microscopy evaluation. Dermatol Surg 39:141–143PubMedCrossRef Tsilika K, Bahadoran P, Passeron T (2013) Superficial lymphangioma treated with fractional ablative laser: a case report with clinical and reflectance confocal microscopy evaluation. Dermatol Surg 39:141–143PubMedCrossRef
91.
go back to reference Hochman M, Adams DM, Reeves TD (2011) Current knowledge and management of vascular anomalies, II: malformations. Arch Facial Plast Surg 13:425–433PubMedCrossRef Hochman M, Adams DM, Reeves TD (2011) Current knowledge and management of vascular anomalies, II: malformations. Arch Facial Plast Surg 13:425–433PubMedCrossRef
92.
go back to reference Waner M (2013) The role of surgery in the management of congenital vascular anomalies. Tech Vasc Interv Radiol 16:45–50PubMedCrossRef Waner M (2013) The role of surgery in the management of congenital vascular anomalies. Tech Vasc Interv Radiol 16:45–50PubMedCrossRef
93.
go back to reference Bailin PL, Kantor GR, Wheeland RG (1986) Carbon dioxide laser vaporization of lymphangioma circumscriptum. J Am Acad Dermatol 14:257–262PubMedCrossRef Bailin PL, Kantor GR, Wheeland RG (1986) Carbon dioxide laser vaporization of lymphangioma circumscriptum. J Am Acad Dermatol 14:257–262PubMedCrossRef
94.
go back to reference Smith H, Genesen MC, Feddersen RM (1999) Dermal lymphangiomata of the vulva and laser therapy: a case report and literature review. Eur J Gynaecol Oncol 20:373–378 Smith H, Genesen MC, Feddersen RM (1999) Dermal lymphangiomata of the vulva and laser therapy: a case report and literature review. Eur J Gynaecol Oncol 20:373–378
95.
go back to reference Egan CA, Rallis TM, Zone JJ (1998) Multiple scrotal lymphangiomas (lymphangiectases) treated by carbon dioxide laser ablation. Br J Dermatol 139:561–562PubMedCrossRef Egan CA, Rallis TM, Zone JJ (1998) Multiple scrotal lymphangiomas (lymphangiectases) treated by carbon dioxide laser ablation. Br J Dermatol 139:561–562PubMedCrossRef
96.
go back to reference Treharne LJ, Murison MS (2006) CO2 laser ablation of lymphangioma circumscriptum of the scrotum. Lymphat Res Biol 4:101–103PubMedCrossRef Treharne LJ, Murison MS (2006) CO2 laser ablation of lymphangioma circumscriptum of the scrotum. Lymphat Res Biol 4:101–103PubMedCrossRef
97.
go back to reference Lai CH, Hanson SG, Mallory SB (2001) Lymphangioma circumscriptum treated with pulsed dye laser. Pediatr Dermatol 18:509–510PubMedCrossRef Lai CH, Hanson SG, Mallory SB (2001) Lymphangioma circumscriptum treated with pulsed dye laser. Pediatr Dermatol 18:509–510PubMedCrossRef
98.
go back to reference Saluja S, Petersen M, Summers E (2015) Fractional carbon dioxide laser ablation for the treatment of microcystic lymphatic malformations (lymphangioma circumscriptum) in an adult patient with Klippel–Trenaunay syndrome. Lasers Surg Med. doi: 10.1002/lsm.22379 Saluja S, Petersen M, Summers E (2015) Fractional carbon dioxide laser ablation for the treatment of microcystic lymphatic malformations (lymphangioma circumscriptum) in an adult patient with Klippel–Trenaunay syndrome. Lasers Surg Med. doi: 10.​1002/​lsm.​22379
99.
go back to reference Swetman GL, Berk DR, Vasanawala SS et al (2012) Sildenafil for severe lymphatic malformations. N Engl J Med 366:384–386PubMedCrossRef Swetman GL, Berk DR, Vasanawala SS et al (2012) Sildenafil for severe lymphatic malformations. N Engl J Med 366:384–386PubMedCrossRef
100.
go back to reference Gandhi NG, Lin LK, O’Hara M (2013) Sildenafil for pediatric orbital lymphangioma. JAMA Ophthalmol 131:1228–1230PubMedCrossRef Gandhi NG, Lin LK, O’Hara M (2013) Sildenafil for pediatric orbital lymphangioma. JAMA Ophthalmol 131:1228–1230PubMedCrossRef
101.
go back to reference Danial C, Tichy AL, Tariq U et al (2014) An open-label study to evaluate sildenafil for the treatment of lymphatic malformations. J Am Acad Dermatol 70:1050–1057PubMedPubMedCentralCrossRef Danial C, Tichy AL, Tariq U et al (2014) An open-label study to evaluate sildenafil for the treatment of lymphatic malformations. J Am Acad Dermatol 70:1050–1057PubMedPubMedCentralCrossRef
102.
go back to reference Koshy JC, Eisemann BS, Agrawal N et al (2015) Sildenafil for microcystic lymphatic malformations of the head and neck: a prospective study. Int J Pediatr Otorhinolaryngol 79:980–982PubMedCrossRef Koshy JC, Eisemann BS, Agrawal N et al (2015) Sildenafil for microcystic lymphatic malformations of the head and neck: a prospective study. Int J Pediatr Otorhinolaryngol 79:980–982PubMedCrossRef
103.
go back to reference Rankin H, Zwicker K, Trenor CC III (2015) Caution is recommended prior to sildenafil use in vascular anomalies. Pediatr Blood Cancer 62:2015–2017PubMedCrossRef Rankin H, Zwicker K, Trenor CC III (2015) Caution is recommended prior to sildenafil use in vascular anomalies. Pediatr Blood Cancer 62:2015–2017PubMedCrossRef
104.
go back to reference Ozeki M, Kanda K, Kawamoto N et al (2013) Propranolol as an alternative treatment option for pediatric lymphatic malformation. Tohoku J Exp Med 229:61–66PubMedCrossRef Ozeki M, Kanda K, Kawamoto N et al (2013) Propranolol as an alternative treatment option for pediatric lymphatic malformation. Tohoku J Exp Med 229:61–66PubMedCrossRef
105.
go back to reference Maruani A, Brown S, Lorette G et al (2013) Lack of effect of propranolol in the treatment of lymphangioma in two children. Pediatr Dermatol 30:383–385PubMedCrossRef Maruani A, Brown S, Lorette G et al (2013) Lack of effect of propranolol in the treatment of lymphangioma in two children. Pediatr Dermatol 30:383–385PubMedCrossRef
106.
go back to reference Akyuz C, Atas E, Varan A (2014) Treatment of a tongue lymphangioma with sirolimus after failure of surgical resection and propranolol. Pediatr Blood Cancer 61:931–932PubMedCrossRef Akyuz C, Atas E, Varan A (2014) Treatment of a tongue lymphangioma with sirolimus after failure of surgical resection and propranolol. Pediatr Blood Cancer 61:931–932PubMedCrossRef
107.
go back to reference Francis CS, Rommer EA, Kane JT et al (2012) Limited-incision surgical debulking of lymphatic malformations using ultrasound-assisted liposuction. Plast Reconstr Surg 130:920e–922ePubMedCrossRef Francis CS, Rommer EA, Kane JT et al (2012) Limited-incision surgical debulking of lymphatic malformations using ultrasound-assisted liposuction. Plast Reconstr Surg 130:920e–922ePubMedCrossRef
108.
go back to reference Mitsukawa N, Satoh K (2012) New treatment for cystic lymphangiomas of the face and neck: cyst wall rupture and cyst aspiration combined with sclerotherapy. J Craniofac Surg 23:1117–1119PubMedCrossRef Mitsukawa N, Satoh K (2012) New treatment for cystic lymphangiomas of the face and neck: cyst wall rupture and cyst aspiration combined with sclerotherapy. J Craniofac Surg 23:1117–1119PubMedCrossRef
110.
go back to reference Becker C, Vasile JV, Levine JL et al (2012) Microlymphatic surgery for the treatment of iatrogenic lymphedema. Clin Plast Surg 39:385–398PubMedCrossRef Becker C, Vasile JV, Levine JL et al (2012) Microlymphatic surgery for the treatment of iatrogenic lymphedema. Clin Plast Surg 39:385–398PubMedCrossRef
111.
go back to reference Lin CH, Ali R, Chen SC et al (2009) Vascularized groin lymph node transfer using the wrist as a recipient site for management of postmastectomy upper extremity lymphedema. Plast Reconstr Surg 123:1265–1275PubMedCrossRef Lin CH, Ali R, Chen SC et al (2009) Vascularized groin lymph node transfer using the wrist as a recipient site for management of postmastectomy upper extremity lymphedema. Plast Reconstr Surg 123:1265–1275PubMedCrossRef
Metadata
Title
Pediatric lymphatic malformations: evolving understanding and therapeutic options
Authors
Ann M. Defnet
Naina Bagrodia
Sonia L. Hernandez
Natalie Gwilliam
Jessica J. Kandel
Publication date
01-05-2016
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Surgery International / Issue 5/2016
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI
https://doi.org/10.1007/s00383-016-3867-4

Other articles of this Issue 5/2016

Pediatric Surgery International 5/2016 Go to the issue