Lymphangioma: Symptoms, Causes, Diagnosis and Treatment
Written by Medicover Team and Medically Reviewed by Dr Ganisetty L V S Durga Parasuram , Pediatric Surgeon
Table of Contents
Lymphangioma is a rare, non-cancerous malformation of the lymphatic system characterized by abnormal collections of lymphatic vessels. It is usually present at birth or develops during early childhood and most commonly affects the head, neck, and armpit regions.
Depending on its size and location, a lymphangioma may cause swelling, discomfort, or pressure on nearby structures. Early diagnosis and appropriate treatment can help prevent complications and improve outcomes.
What are the Types of Lymphangioma?
Lymphangiomas are classified into different types based on the size and structure of the abnormal lymphatic vessels.
- Capillary lymphangioma, which consists of small and thin-walled lymphatic vessels
- Cavernous lymphangioma, characterized by larger and dilated lymphatic vessels
- Cystic hygroma, a large cystic form of lymphangioma that is most commonly found in the neck
What are the Symptoms or Warning Signs of Lymphangioma?
The symptoms of lymphangioma depend largely on the size and location of the malformation. Some lymphangiomas remain small and painless, while others can grow and affect nearby structures.
- Visible swelling or soft, spongy lumps under the skin
- Gradual enlargement of the affected area
- Pain or discomfort if nearby tissues or nerves are compressed
- Difficulty breathing if the lymphangioma is located near the airway
- Difficulty swallowing if the growth affects the throat or esophagus
- Infection in the affected area causes redness, tenderness, and fever
- Speech or eating difficulties when the tongue is involved
What are the Common Causes of Lymphangioma?
The exact cause of lymphangioma is not fully understood, but it is generally believed to result from abnormal development of the lymphatic system during fetal growth. Certain genetic and environmental factors may contribute to the condition.
- Abnormal formation of lymphatic vessels during fetal development
- Genetic mutations affecting the lymphatic system
- Genetic conditions such as Turner syndrome
- Chromosomal disorders, including Down syndrome
- Family history of lymphatic malformations in some cases
When Should You See a Doctor for Lymphangioma?
A visible swelling, enlarging mass, or symptoms affecting breathing, swallowing, or movement should be evaluated by a Pediatric Surgeon or Vascular Anomalies Specialist. Early assessment can help prevent complications and determine the most effective treatment approach.
You should see a doctor if you have:
- A persistent soft tissue lump or swelling
- Gradual enlargement of a known lesion
- Discomfort or cosmetic concerns
Get medical help immediately if:
- Difficulty breathing or swallowing
- Rapid enlargement of the lesion
- Signs of infection such as redness, pain, or fever
These could be signs of a serious complication like Lymphangioma, which needs urgent care.
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How is Lymphangioma Diagnosed?
Diagnosis of lymphangioma usually involves a physical examination along with imaging tests to determine the size, location, and extent of the lymphatic malformation.
- Physical examination to evaluate the size, texture, and location of the lump
- Review of medical history and associated symptoms
- Ultrasound imaging to examine fluid-filled structures
- MRI scans to provide detailed images and assess the extent of the lymphangioma
- CT scans in complex cases to obtain a clearer view of the surrounding tissues
What are the Treatment Options for Lymphangioma?
The treatment approach for lymphangioma depends on factors such as its size, location, symptoms, and potential complications. Some cases may only require monitoring, while others may need medical or surgical treatment.
- Observation and regular monitoring for small and asymptomatic lymphangiomas
- Sclerotherapy, where a sclerosing agent is injected to shrink the lymphangioma
- Medications such as propranolol can help reduce the size of lymphatic malformations in certain cases
- Surgical removal to excise abnormal lymphatic tissue when symptoms are significant
- Laser therapy to reduce the size of lymphangiomas affecting areas such as the tongue
- Surgical excision for lymphangiomas that interfere with breathing, swallowing, or speech
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What is the Recovery Process for Lymphangioma?
The recovery process for lymphangioma varies depending on the treatment method used and the severity of the condition. With appropriate care and follow-up, many patients achieve good outcomes.
- Regular follow-up visits to monitor the size and progression of the lymphangioma
- Proper wound care and monitoring after surgical procedures
- Observation for any signs of recurrence or complications
- Supportive care and symptom management during recovery
- Participation in support groups or counseling for emotional support when needed
Although lymphangioma cannot always be prevented, early detection and appropriate treatment can help manage symptoms and reduce the risk of complications.
Frequently Asked Questions
1. What is lymphangioma?
Lymphangioma is a rare, benign tumor formed by the abnormal growth of lymphatic vessels, often present at birth.
2. What are the symptoms of lymphangioma?
Symptoms include swelling or a mass, usually in the head or neck, that may become infected or obstruct nearby structures.
3. How is lymphangioma treated?
Treatment may include surgery to remove the tumor, laser therapy, or sclerotherapy to shrink the mass.
4. What causes lymphangioma?
Lymphangiomas are caused by developmental issues in the lymphatic system, though the exact cause is often unknown.
5. How is lymphangioma diagnosed?
Diagnosis typically involves imaging tests like ultrasound, MRI, or CT scans to assess the size and location of the tumor.