An Unusual Origin of Fetal Lymphangioma Filling Right Axilla


Ersoy A. O. , Oztas E., Saridogan E. , Ozler S., Danisman N.

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, vol.10, no.3, 2016 (Journal Indexed in ESCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 10 Issue: 3
  • Publication Date: 2016
  • Doi Number: 10.7860/jcdr/2016/18516.7513
  • Title of Journal : JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH

Abstract

Fetal lymphangioma is a hamartomatous congenital anomaly of the lymphatic system, which is embracing the fetal skin (sometimes mucous membranes) and the subcutaneous tissue. The general consensus is that it occurs as a result of failure in lymphatic drainage. A 36-year-old pregnant woman was referred to our perinatology clinic at 22 weeks' gestation, because of a fetal right-sided axillary mass revealed by ultrasonography. The mass measuring 5x7x7cm in three dimensions had a multilocular structure without colour Doppler flow and well-circumscribed borders. Amniocentesis revealed a normal constitutional karyotyping. Lymphangioma was considered as prediagnosis. A healthy female baby weighing 3470 grams was delivered at term. Neonatal examination and the postnatal MRI confirmed the diagnosis. The baby is still on follow-up with the medical treatment of Sirolimus an anti-proliferative drug, and the mass got smaller significantly in 8 months after delivery.