TITLE:
Congenital Cervico-Mandibular Cystic Lymphangioma in Pediatric Surgical Setting in Guinea
AUTHORS:
Thierno Saïdou Barry, Mohamed Lamine Sadou Sacko, Balla Keita, Aissatou Bailo Balde, Mamadou Alpha Diallo, Moussa Conde, Ibrahima Kalil Dioubate, Mory Sangare, Salamata Sall, Mariama Dalanda Diallo, Daniel Agbo-Panzo
KEYWORDS:
Congenital Cystic Lymphangioma (LKC), Child, Pediatric Surgery Guinea
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.14 No.1,
January
30,
2024
ABSTRACT: Introduction: Cystic lymphangiomas are rare benign malformative tumors of the
lymphatic system of obscure etiopathogenesis. The cervico-facial location
remains the most common (75%). Although benign, these tumors remain potentially
fatal, due to possible compression of the upper aero-digestive tract. The aim
of this work is to study the epidemiological, diagnostic and therapeutic
characteristics of cervico-mandibular congenital cystic lymphangiomas in the
pediatric surgery department of the Donka National Hospital (HND) Conakry. Patients
and methods: This is a retrospective and descriptive study of 13 files
lasting 7 years from January 2015 to December 31, 2021. The files of children
whose age is less than or equal to 15 years operated on cervical tumor with
histological evidence of cystic lymphangioma were retained. The data were
analyzed using SPSS statistical software 21 and anonymously. Results: The incidence of this study was 1.86 cases per year and a sex ratio of 0.62 in
favor of girls. The average age was 8 months 19 days. In the antecedents, we
only find poorly monitored pregnancies. The average size of the tumors was
11.85 cm. Cervical ultrasound and standard x-ray of the cervical mass were the
only examinations performed. Total surgical excision of the cervical tumor was
performed in all patients. The mass was polycystic on exploration. The
histological examination of the surgical specimens was in favor of a cystic
lymphangioma. The surgical consequences were simple in 11 patients (84.62%) and
complicated by parietal suppuration in 2 cases (15.38%). There were no cases of recurrence after one year of follow-up. Conclusion: Cervico-mandibular
cystic lymphangiomas are the most frequent locations of congenital
lymphangiomas in children. Their severity is linked to the risk of compression
of the aero-digestive tracts. Their diagnosis must be confirmed by the
histology of the surgical specimen. Despite the therapeutic arsenal, excision
of the cystic mass remains the only effective alternative in our socio-economic
conditions to avoid recurrences and loss of follow-up of patients.