Management strategies in childhood lymphangiomas [Çocukluk çagl lenfanjiomalarinda tedavi yaklaşlmlarl]

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dc.contributor.authorDivarci E.
dc.contributor.authorÇeli§k A.
dc.contributor.authorKismali E.
dc.contributor.authorErgün O.
dc.date.accessioned2019-10-26T22:53:52Z
dc.date.available2019-10-26T22:53:52Z
dc.date.issued2009
dc.departmentEge Üniversitesien_US
dc.description.abstractThe aim of this study is to investigate the optimal treatment strategy for lymphangioma by analyzing the results of primary excision and sclerotherapy with bleomycin. Retrospective analysis of patients with lymphangiomas treated at our institution between 2000-2010 was performed. Data related to age, and gender of the patients, localization, and radiological type of lymphomas, treatment methods and their outcomes were reviewed. Twenty-nine invasive attempts (16 excisions, 13 sclerotherapies) were performed on 22 patients (17M, 5F). Mean age of the patients was 2,1±2,9 years. Lesions were localized on head-neck (9), axillary (6), trunk (6) and retroperitoneal regions (1). Lymphangiomas were classified as macrocystic, microcystic and cavernous types.. Treatment success was evaluated based on decrease in mass size as "poor response" (<75 %), and "good response" (75-100 %). Fourteen patients treated with primary surgical excision had achieved good (9) (64 %) and poor (5) responses. Additional sclerotherapy procedures were required in 5 patients after excision and treated successfully. Eight patients treated with primary sclerotherapy had good (6) (75 %) and poor (2) response rates, and 2 additional surgical excisions were necessitated. Patients who needed additional therapy after sclerotherapy had microcystic lesions. No major complications were seen in both groups. Mean follow-up period was 5 years (3 months-10 years). "Good" surgical success was proved at all patients Sclerotherapy and/or primary excision could be performed in the treatment of lymphangioma Achievement of surgical success is depended on appropriate patient choice. As a general approach, sclerotherapy must be preferred primarily for macrocystic lesions and excision for microcystic lesions.en_US
dc.identifier.endpage147en_US
dc.identifier.issn1305-5194
dc.identifier.issn1305-5194en_US
dc.identifier.issue3en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage143en_US
dc.identifier.urihttps://hdl.handle.net/11454/20361
dc.identifier.volume23en_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.relation.ispartofCocuk Cerrahisi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBleomycinen_US
dc.subjectLymphangiomaen_US
dc.subjectLymphatic malformationen_US
dc.subjectSclerotherapyen_US
dc.subjectSurgeryen_US
dc.titleManagement strategies in childhood lymphangiomas [Çocukluk çagl lenfanjiomalarinda tedavi yaklaşlmlarl]en_US
dc.typeArticleen_US

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