Lymphangioma Signs and symptoms vary according to the anatomical location. Two-thirds of cervical lymphangioma showed no symptoms. They are present as swelling multilobular, palpable cystic on palpation. Massa may have a limit but most often infiltrate. Posterior triangle of the neck and submandibular region was the most common being the location presentations.Symptoms appear in the neonatal period associated with eating disorders and breathing. Stridor and progressive respiratory problems can occur with extensive infiltration lesions in the glottis and supraglottic area immediately after birth. Macroglossia due to infiltration lymphangioma and sublingual components responsible for the problems in the process of eating. Lymphangioma in the thoracic region can also cause respiratory failure in infants due to compression of mediastinal structures.
Suddenly Enlargement and sometimes painful of lymphangioma in children older may be caused by infection, bleeding, and / or accumulation of fluid. Acute upper respiratory tract infections have been associated with sudden enlargement of the masses. Fluctuations in size with straining, coughing or respiration at lymphangioma in the lower neck may be a manifestation of the components of the mediastinum, was observed in 10% of cases. Although respiratory symptoms here are generally less worried than those seen in supraglottic lesions, acute respiratory distress in mediastinal lymphangioma, have been reported in need of urgent care. Superior vena obstruction, chylothorax and chylopericardium have all been linked with lymphangioma interthoracic.
Bone Lymphangioma is very rare, usually involving several areas. Bones of the shoulder is most often affected although the lesions may appear on any bone. Lymphangioma bones can be found incidentally on X-ray or a pathologic fracture. Pain and neurologic dysfunction caused due to compression. And bone lysis in Gorham-Stout disease can also occur. Lytic lesions with have also been associated with ascites, chylothorax, Chylupericardium. In a review of 16 cases by Canil et al, which is most often served are chylothorax. Bone pain is a feature found only in three patients. The time of detection of bone lesions for chylothorax development ranging from 6 months to 5 years.
In the 193 patients with lymphangioma, the symptoms is present in 17.8% of patients, especially patients with digestive disorders, respiratory problems or infections, and localized pain. Physical signs include the mass of isolated in half of all cases. Gigantism or elephantiasis occurs in 5% of cases. Intra-abdominal lymphangioma cause abdominal distention or palpable mass in 4% of cases. Proptosis, exophthalmos or ocular muscle paralysis and the appearance of vesicles in the skin occurred in 1.6% of our patients.