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Ultrasonographic diagnosis, classification, and treatment of cervical lymphatic malformation in paediatric patients: a retrospective study

Authors
  • Li, Jiaoling1
  • Zhong, Wei1
  • Geng, Xiuping1
  • Liu, Xiaofang1
  • Zhang, Xiangxiang1
  • Wang, Yurun1
  • Li, Haibo1
  • 1 Guangzhou Medical University, Jinsui Road 9, Guangzhou, 510623, China , Guangzhou (China)
Type
Published Article
Journal
BMC Pediatrics
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Sep 19, 2020
Volume
20
Issue
1
Identifiers
DOI: 10.1186/s12887-020-02337-w
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundTo explore the imaging features, key diagnostic points, classification, treatment, and prognosis of cervical lymphatic malformation.MethodsOverall, 320 patients diagnosed with cervical lymphatic malformation were retrospectively analysed in our hospital between 1 January 2014 and 31 December 2017. Imaging modalities included colour Doppler ultrasound, magnetic resonance imaging, and contrast-enhanced computed tomography. Cervical lymphatic malformations were classified by cyst diameter. Treatments included interventional therapy, surgery, and expectant treatment.ResultsCervical lymphatic malformation was identified in 320 of 1192 patients with lymphatic malformation. Four were excluded due to misdiagnosis by ultrasonography. Cervical lymphatic malformation was classified as mixed, macrocystic, and microcystic in 184 (57.5%), 117 (36.56%), and 19 (5.94%) patients, respectively. Sixty-four (20%), ten (3.12%), seven (2.19%), and three (0.94%) patients experienced intracystic haemorrhage, infection, concurrent intracystic haemorrhage and infection, and calcification, respectively. Among 260 (81.25%) patients who underwent interventional sclerotherapy, 163 (50.94%) received it once and 96 (30%) received it two or more times. Twenty-eight (8.75%), five (1.56%), and 27 (8.44%) patients underwent surgical resection, interventional sclerotherapy plus surgery, and expectant management, respectively.ConclusionsUltrasonography is useful for diagnosing definite cervical lymphatic malformation. Interventional therapy is the first choice for children with confirmed cervical lymphatic malformation.

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