Microcystic lymphatic malformation: Difference between revisions

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{{Infobox medical condition
| name                    = Microcystic lymphatic malformation
| synonyms                = [[Lymphangioma]], [[Lymphatic malformation]]
| field                  = [[Dermatology]], [[Pediatrics]], [[Otolaryngology]]
| symptoms                = Soft, compressible masses, often with a bluish tint
| complications          = Infection, bleeding, pain, functional impairment
| onset                  = Congenital, often present at birth
| duration                = Chronic
| causes                  = Abnormal development of the [[lymphatic system]]
| risks                  = None specifically identified
| diagnosis              = [[Clinical examination]], [[Ultrasound]], [[MRI]]
| differential            = [[Hemangioma]], [[Venous malformation]], [[Cystic hygroma]]
| treatment              = [[Sclerotherapy]], [[Surgical excision]], [[Laser therapy]]
| prognosis              = Variable, depending on size and location
| frequency              = Rare
}}
== '''Alternate names''' ==
== '''Alternate names''' ==
Superficial lymphangioma; Capillary lymphangioma; Capillary lymphatic malformation; Cutaneous lymphangioma circumscriptum; Microcystic infiltrating lymphatic malformation; Microcystic lymphangioma; Superficial lymphatic malformation
Superficial lymphangioma; Capillary lymphangioma; Capillary lymphatic malformation; Cutaneous lymphangioma circumscriptum; Microcystic infiltrating lymphatic malformation; Microcystic lymphangioma; Superficial lymphatic malformation
== '''Definition''' ==
== '''Definition''' ==
Microcystic lymphatic malformation is one subtype of lymphatic malformation (LM), a congenital malformation of the lymphatic vessels in soft tissues, including the skin.
Microcystic lymphatic malformation is one subtype of lymphatic malformation (LM), a congenital malformation of the lymphatic vessels in soft tissues, including the skin.
== '''Cause''' ==
== '''Cause''' ==
The exact cause is unknown but is likely related to a malformation of the lymphatic system at six to ten weeks of gestation, when some lymphatic tissue fails to communicate with the lymphatic and venous system.  
The exact cause is unknown but is likely related to a malformation of the lymphatic system at six to ten weeks of gestation, when some lymphatic tissue fails to communicate with the lymphatic and venous system.  
== '''Types''' ==
== '''Types''' ==
* LM is classified into the '''macrocystic type''', cysts larger than 2 cm with clear margins (previously known as cystic hygromas), and the '''microcystic type''', consisting of cysts smaller than 2 cm, that appear diffuse, and grow without clear borders (previously known as lymphangioma circumscriptum).  
* LM is classified into the '''macrocystic type''', cysts larger than 2 cm with clear margins (previously known as cystic hygromas), and the '''microcystic type''', consisting of cysts smaller than 2 cm, that appear diffuse, and grow without clear borders (previously known as lymphangioma circumscriptum).  
* When the two types concur it is called the''' combined type'''.
* When the two types concur it is called the''' combined type'''.
== '''Signs and symptoms''' ==
== '''Signs and symptoms''' ==
* Microcystic lesions are commonly found inside the mouth, throat, and in the tongue, [[parotid gland]] and [[submandibular gland]].  
* Microcystic lesions are commonly found inside the mouth, throat, and in the tongue, [[parotid gland]] and [[submandibular gland]].  
* Symptoms include deformity, and problems with breathing and feeding.
* Symptoms include deformity, and problems with breathing and feeding.
== '''Diagnosis''' ==
== '''Diagnosis''' ==
== '''Treatment''' ==
== '''Treatment''' ==
* Treatment depends upon the clinical presentation, the size of the lesion, the location, and resulting complications.  
* Treatment depends upon the clinical presentation, the size of the lesion, the location, and resulting complications.  
* Superficial mucosal microcystic lesions may be treated with [[laser therapy]].
* Superficial mucosal microcystic lesions may be treated with [[laser therapy]].
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Latest revision as of 03:26, 4 April 2025


Microcystic lymphatic malformation
Synonyms Lymphangioma, Lymphatic malformation
Pronounce N/A
Specialty N/A
Symptoms Soft, compressible masses, often with a bluish tint
Complications Infection, bleeding, pain, functional impairment
Onset Congenital, often present at birth
Duration Chronic
Types N/A
Causes Abnormal development of the lymphatic system
Risks None specifically identified
Diagnosis Clinical examination, Ultrasound, MRI
Differential diagnosis Hemangioma, Venous malformation, Cystic hygroma
Prevention N/A
Treatment Sclerotherapy, Surgical excision, Laser therapy
Medication N/A
Prognosis Variable, depending on size and location
Frequency Rare
Deaths N/A


Alternate names[edit]

Superficial lymphangioma; Capillary lymphangioma; Capillary lymphatic malformation; Cutaneous lymphangioma circumscriptum; Microcystic infiltrating lymphatic malformation; Microcystic lymphangioma; Superficial lymphatic malformation

Definition[edit]

Microcystic lymphatic malformation is one subtype of lymphatic malformation (LM), a congenital malformation of the lymphatic vessels in soft tissues, including the skin.

Cause[edit]

The exact cause is unknown but is likely related to a malformation of the lymphatic system at six to ten weeks of gestation, when some lymphatic tissue fails to communicate with the lymphatic and venous system.

Types[edit]

  • LM is classified into the macrocystic type, cysts larger than 2 cm with clear margins (previously known as cystic hygromas), and the microcystic type, consisting of cysts smaller than 2 cm, that appear diffuse, and grow without clear borders (previously known as lymphangioma circumscriptum).
  • When the two types concur it is called the combined type.

Signs and symptoms[edit]

  • Microcystic lesions are commonly found inside the mouth, throat, and in the tongue, parotid gland and submandibular gland.
  • Symptoms include deformity, and problems with breathing and feeding.

Diagnosis[edit]

Treatment[edit]

  • Treatment depends upon the clinical presentation, the size of the lesion, the location, and resulting complications.
  • Superficial mucosal microcystic lesions may be treated with laser therapy.

NIH genetic and rare disease info[edit]

Microcystic lymphatic malformation is a rare disease.


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