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Progressive fetal axillary cystic lymphangioma with coexistent naevus flammeus
Author(s) -
CHEN C.P.,
CHEN H.C.,
LIU F.f.,
JAN S.W.,
LIN S.P.,
SHEU J.C.,
CHEN B.F.
Publication year - 1997
Publication title -
british journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.304
H-Index - 179
eISSN - 1365-2133
pISSN - 0007-0963
DOI - 10.1046/j.1365-2133.1997.d01-1151.x
Subject(s) - lymphangioma , axilla , medicine , fetus , amniocentesis , prenatal diagnosis , gestation , surgery , pregnancy , biology , cancer , breast cancer , genetics
Summary We report the rare occurrence of a progressive fetal axillary cystic lymphangioma coexistent with an overlying naevus flammeus. The fetus at 22 weeks gestation was found to have a 37 × 35 mm left axillary multiloculated mass without colour‐flow imaging. Amniocentesis showed a normal 46.XX karyotype. Multiple fine‐needle aspirations of the mass in the second and third trimesters obtained blood‐stained chocolate‐coloured fluid containing numerous erythrocytes and lymphocytes but proved ineffective in lessening the progressive growth of the mass. The mother underwent caesarean delivery and a healthy neonate was born with a 141 × 81 mm left axillary cystic lymphangioma and a 50 × 35 mm coexistent naevus flammeus. The neonate was well after simple excision of the lesions. Although cystic lymphangiomas arising in the axilla enlarge progressively during fetal life. our case suggests a good prognosis and except for genetic evaluation. no prenatal intervention is required.