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Sclerosing Lymphangiomas

Date: Jul 25, 2013

Question:

Just wondering your thoughts about multiple lymphangioma reporting.

Sonographic guidance was used to evaluate and gain access to the macro and microcystic lymphangioma extending posterior lateral to the right sternocleidomastoid muscle and along the anterior margin of the right upper trapezius muscle. Utilizing 22 gauge Angiocath needles, as well as the 21 gauge micropuncture needle, four separate macro and microcystic regions of the right supraclavicular lymphangioma were accessed. Access was confirmed via injection of contrast, as well as aspiration of clear yellow fluid. The largest of these complexes at the right neck base was injected with approximately 7 mL of doxycycline at a concentration of 10 mg/mL. Three additional regions were accessed, confirmed with contrast, and injected with lesser amounts of doxycycline.

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