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    Go to the top of the page   ID: 20011126121205 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Cystic lymphangioma of the back
    A Schlüter, K Stock, C Heider. Cystic lymphangioma of the back. PedRad [serial online] vol 1, no. 11.
    URL: www.PedRad.info/?search=20011126121205


     
     Pediatric Radiology CasesImages to this case: There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    A. Schlüter, K. Stock, C. Heider (Halle)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    Newborn  

     
     Pediatric Radiology CasesGender:

    Female  

     
     Pediatric Radiology CasesRegion-Organ:

    Thorax-Lymphatic tissue  

     
     Pediatric Radiology CasesMost likely etiology:

    congenital  

     
     Pediatric Radiology CasesHistory:

    Tthe presented, small, female patient was a newborn. There was an obvious macrosomy with diabetes mellitus of the mother. Birth by caesarean section. In the obviously thickened layer of fat of the subcutis, many, well-sliding lesions were palpable. In the ultrasound examination, these were already polymorphic, cystic stuctures. The indication for MRI was made to ensure no communication of the lesions to the intraspinal structures.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    Lymphangiomas are mesenchymal masses, which can contain fat, fibrotic tissue and smooth muscle. The etiology is unknown. Aside from an anomaly of the lymphatic system or a congenital obstruction of the lymphatic drainage system, lymphangiomas are partially characterized as neoplasias. A progressive growth has been described. Capillary, cavernous and cystic lymphangiomas have been distinguished. The masses are often found in the area of the neck or axilla in children.  

     
     Pediatric Radiology CasesRadiological findings:


    MRI 1 <- view MRI 1

    MRI 1: T2 - Sagittal







    MRI 2 <- view MRI 2

    MRI 2: T1 - Sagittal







    MRI 3 <- view MRI 3

    MRI 3: T1 - Transversal







    MRI 4 <- view MRI 4

    MRI 4: T1 - Transversal - with contrast







    MRI 5 <- view MRI 5

    MRI 5: T2 - Transversal

    Proof of multiple, partially merging lesions in the midline, or paramedially on the right side in the area of the back in the subcutical fat tissue. Strong signal in T2-weighted images, hypointense representation in T1-weighted images. After administration of contrast media, proof of a bone marrow uptake in the edges of the lesions. Partial proof of septations.





     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Total constellation (Consens)  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Only a few lesions can be included. In adulthood, lipoblastomas should be considered. A hemangioma/hemangioblastoma is usually discarded through imaging findings. In our small patient, we had to consider dysraphias due to the localization.  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    The prognosis is good. A malignant transformation is not known. In structural relation to important organ structures can, however, lead to serious clinical symptoms due to the compressing nature of lymphangiomas (i.e. mediastinal tumors ==> dyspnea). Treatment of choice is surgical, reoccurances are, however, common.  

     
     Pediatric Radiology CasesComments of the author about the case:

    There are flowing transitions between the cystic and cavernous lymphangioma. I would like to discuss these findings.  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    Kransdorf M.J., Berquist T.H - Musculosceletal neoplasms
    Berquist T.H. (ed) - MRI of the musculosceletal system
    Lippincott Williams & Wilkins, Philadelphia. 2001.842 ff  

     
     Pediatric Radiology CasesKeywords:

    Lymphangioma, newborn, diabetes mellitus, cystic, back, cystic lymphangioma of the back, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    A Schlüter, K Stock, C Heider. Cystic lymphangioma of the back. PedRad [serial online] vol 1, no. 11.
    URL: www.PedRad.info/?search=20011126121205  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Thorax-Lymphatic tissue
    or in the region: Thorax
    or in the tissue/organ: Lymphatic tissue
    or with the etiology: congenital
     
     Pediatric Radiology CasesImages to this case: There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     
    Cystic lymphangioma of the back
    A Schlüter, K Stock, C Heider. Cystic lymphangioma of the back. PedRad [serial online] vol 1, no. 11.
    URL: www.PedRad.info/?search=20011126121205


     

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    Cystic lymphangioma of the back
    Other cases by these authors:

    Search A. Schlüter in Medline A. Schlüter (7)   
    Search K. Stock in Medline K. Stock (4)   
    Search C. Heider in Medline C. Heider (1)   

    Cystic lymphangioma of the back  
     
    Cystic lymphangioma of the back
    A Schlüter, K Stock, C Heider. Cystic lymphangioma of the back. PedRad [serial online] vol 1, no. 11.
    URL: www.PedRad.info/?search=20011126121205


     
     
    Cystic lymphangioma of the back
    A Schlüter, K Stock, C Heider. Cystic lymphangioma of the back. PedRad [serial online] vol 1, no. 11.
    URL: www.PedRad.info/?search=20011126121205


     

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    Cystic lymphangioma of the back
    A Schlüter, K Stock, C Heider. Cystic lymphangioma of the back. PedRad [serial online] vol 1, no. 11.
    URL: www.PedRad.info/?search=20011126121205


     




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