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Lymphangioma

Cancer and Oncology · NLM MeSH · updated 2026-10-29 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 4 min read

A benign tumor resulting from a congenital malformation of the lymphatic system.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (847 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

A benign tumor resulting from a congenital malformation of the lymphatic system. Lymphangioendothelioma is a type of lymphangioma in which endothelial cells are the dominant component.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Lymphangiomas; Lymphangioendothelioma; Lymphangioendotheliomas; Endothelioma, Lymphatic; Endotheliomas, Lymphatic; Lymphatic Endothelioma; Lymphatic Endotheliomas; Lymphangioma, Cavernous.

Where it fits in the MeSH classification

Broader topics
Neoplasm, Lymphatic Tissue
Narrower topics
Lymphangioma, Cystic

Research landscape

PubMed indexes 6,284 records tagged with the MeSH heading “Lymphangioma” (counts retrieved 2026-10-29). 440 of them (7.0%) were published from 2020 onward, and the busiest period so far is through 1999 with 3,518 records.

Reviews account for 614 records (9.8%) and meta-analyses for 5. Randomized controlled trials number 2 (0.0%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 3,518 records; 2000-2009: 1,224 records; 2010-2019: 1,102 records; 2020 onward: 440 records3,518through 19991,2242000-20091,1022010-20194402020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19993,518
2000-20091,224
2010-20191,102
2020 onward440
Share of records by publication typeReviews: 9.8 percent; Meta-analyses: 0.1 percent; Randomized controlled trials: 0.0 percentReviews9.8% (614)Meta-analyses0.1% (5)Randomized controlled trials0.0% (2)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 6,284 PubMed records
TypeRecordsShare
Reviews6149.8%
Meta-analyses50.1%
Randomized controlled trials20.0%

Method: PubMed query "Lymphangioma"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-29.

Reading the evidence in cancer and oncology

Cancer research spans very different kinds of evidence. Laboratory studies in cell lines and animal models reveal mechanisms but often do not translate to patients. Early-phase trials mainly test safety and dosing, while phase 3 randomized trials and their meta-analyses are the usual basis for treatment conclusions. Outcomes also differ in meaning: tumour shrinkage, progression-free survival and overall survival are not interchangeable, and screening studies can be distorted by lead-time and overdiagnosis. When reading a result, check the cancer type and stage studied, the comparison treatment, and which outcome was measured.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Characteristics of adult abdominal cystic Lymphangioma: a single-center Chinese cohort of 12 cases
Xiao J, Shao Y, Zhu S, He X
2020Research article
Design not recorded in structured metadata
30cc by
PMID 32727377 · DOI · PMC7391610
Using deep-learning in fetal ultrasound analysis for diagnosis of cystic hygroma in the first trimester
Walker MC, Willner I, Miguel OX, Murphy MSQ, El-Chaâr D, Moretti F, et al.
2022Research article
Design not recorded in structured metadata
20cc by
PMID 35731736 · DOI · PMC9216531
Japanese Clinical Practice Guidelines for Vascular Anomalies 2017
Mimura H, Akita S, Fujino A, Jinnin M, Ozaki M, Osuga K, et al.
2020Research article
Design not recorded in structured metadata
16cc by
PMID 32200557 · DOI · PMC7317503
Japanese clinical practice guidelines for vascular tumors, vascular malformations, lymphatic malformations, and Lymphangiomatosis 2022
Kinoshita Y, Ishikawa K, Akita S, Koh K, Sasaki S, Jinnin M, et al.
2026Review article
Design not recorded in structured metadata
2cc by
PMID 41881561 · DOI · PMC13017083

Characteristics of adult abdominal cystic Lymphangioma: a single-center Chinese cohort of 12 cases [1]

Research article Xiao J, Shao Y, Zhu S, He X · · 2020 · cited 30 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
BackgroundCystic lymphangioma is a rare, benign developmental disease, mostly affecting the cervical and axial regions.
Closing excerpt
The analysis of this cohort deepens our understanding of adult ACL.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (262 words)

BackgroundCystic lymphangioma is a rare, benign developmental disease, mostly affecting the cervical and axial regions. The clinical features of abdominal cystic lymphangioma (ACL) are reported among pediatric patients but are less well known in adults. The purpose of this study was to demonstrate the clinical characteristics of ACL in Chinese adults and describe our experience in treating this disease.MethodsWe conducted a single-center, non-interventional, retrospective study of 12 adult patients with ACL admitted to Peking Union Medical College Hospital in Beijing, China from November 1984 through August 2017. The demographic, clinical, laboratory, imaging, histopathologic, and therapeutic data were collected.ResultsDetailed information on seven males and five females was available. The mean age at diagnosis was 39.1 (SD 17.3) years. The mean duration of follow-up was 6.9 years. Six (50%) patients were asymptomatic, and abdominal pain was the leading symptom for three (25%) patients. The cysts were evaluated by ultrasound (n = 8, 67%), CT (n = 10, 83%), and MRI (n = 4, 33%). Therapeutic modalities include laparotomy (n = 6, 50%), laparoscopy (n = 4, 33%), and aspiration (n = 2, 17%), with variable outcomes. The mean postsurgical hospital stay was 6.8 days. Complete excision was accomplished in eight patients, and one recurrence was observed during follow-up. Of patients who underwent partial resection, one experienced disease relapse.ConclusionsThis is the first report on an Asian cohort of adult patients with ACL. Typical imaging features could lead to timely diagnosis and treatment of ACL. Radical resection is recommended with a longer period of follow-up. The analysis of this cohort deepens our understanding of adult ACL.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 32727377 · DOI · PMC7391610

Using deep-learning in fetal ultrasound analysis for diagnosis of cystic hygroma in the first trimester [2]

Research article Walker MC, Willner I, Miguel OX, Murphy MSQ, El-Chaâr D, Moretti F, et al. · · 2022 · cited 20 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
ObjectiveTo develop and internally validate a deep-learning algorithm from fetal ultrasound images for the diagnosis of cystic hygromas in the first trimester.
Closing excerpt
ConclusionsOur findings demonstrate that deep-learning algorithms can achieve high accuracy in diagnostic interpretation of cystic hygroma in the first trimester, validated against expert clinical assessment.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (210 words)

ObjectiveTo develop and internally validate a deep-learning algorithm from fetal ultrasound images for the diagnosis of cystic hygromas in the first trimester.MethodsAll first trimester ultrasound scans with a diagnosis of a cystic hygroma between 11 and 14 weeks gestation at our tertiary care centre in Ontario, Canada were studied. Ultrasound scans with normal nuchal translucency were used as controls. The dataset was partitioned with 75% of images used for model training and 25% used for model validation. Images were analyzed using a DenseNet model and the accuracy of the trained model to correctly identify cases of cystic hygroma was assessed by calculating sensitivity, specificity, and the area under the receiver-operating characteristic (ROC) curve. Gradient class activation heat maps (Grad-CAM) were generated to assess model interpretability.ResultsThe dataset included 289 sagittal fetal ultrasound images;129 cystic hygroma cases and 160 normal NT controls. Overall model accuracy was 93% (95% CI: 88-98%), sensitivity 92% (95% CI: 79-100%), specificity 94% (95% CI: 91-96%), and the area under the ROC curve 0.94 (95% CI: 0.89-1.0). Grad-CAM heat maps demonstrated that the model predictions were driven primarily by the fetal posterior cervical area.ConclusionsOur findings demonstrate that deep-learning algorithms can achieve high accuracy in diagnostic interpretation of cystic hygroma in the first trimester, validated against expert clinical assessment.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 35731736 · DOI · PMC9216531

Japanese Clinical Practice Guidelines for Vascular Anomalies 2017 [3]

Research article Mimura H, Akita S, Fujino A, Jinnin M, Ozaki M, Osuga K, et al. · · 2020 · cited 16 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
The objective was to prepare guidelines to perform the current optimum treatment by organizing effective and efficient treatments of hemangiomas and vascular malformations, confirming the safety and systematizing treatment, employing evidence-based medicine techniques and aimed at improvement of the outcomes.
Closing excerpt
Thus, the Japanese Clinical Practice Guidelines for Vascular Anomalies 2017 have been prepared as the evidence-based guidelines for the management of vascular anomalies.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (183 words)

The objective was to prepare guidelines to perform the current optimum treatment by organizing effective and efficient treatments of hemangiomas and vascular malformations, confirming the safety and systematizing treatment, employing evidence-based medicine techniques and aimed at improvement of the outcomes. Clinical questions (CQ) were decided based on the important clinical issues. For document retrieval, key words for published work searches were set for each CQ, and work published from 1980 to the end of September 2014 was searched in PubMed, Cochrane Library and Japana Centra Revuo Medicina databases. The strengths of evidence and recommendations acquired by systematic reviews were determined following the Medical Information Network Distribution System technique. A total of 33 CQ were used to compile recommendations and the subjects included efficacy of resection, sclerotherapy/embolization, drug therapy, laser therapy, radiotherapy and other conservative treatment, differences in appropriate treatment due to the location of lesions and among symptoms, appropriate timing of treatment and tests, and pathological diagnosis deciding the diagnosis. Thus, the Japanese Clinical Practice Guidelines for Vascular Anomalies 2017 have been prepared as the evidence-based guidelines for the management of vascular anomalies.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 32200557 · DOI · PMC7317503

Japanese clinical practice guidelines for vascular tumors, vascular malformations, lymphatic malformations, and Lymphangiomatosis 2022 [4]

Review article Kinoshita Y, Ishikawa K, Akita S, Koh K, Sasaki S, Jinnin M, et al. · · 2026 · cited 2 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
The objective was to prepare guidelines to perform the current optimum treatment by organizing effective and efficient treatments of hemangiomas and vascular malformations, confirming the safety, and systematizing treatment, employing evidence-based medicine techniques and aimed at improvement of the outcomes.
Closing excerpt
Thus, the Japanese Clinical Practice Guidelines for Vascular Tumors, Vascular Malformations, Lymphatic Malformations, and Lymphangiomatosis 2022 have been prepared as the evidence-based guidelines for the management of vascular anomalies.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (192 words)

The objective was to prepare guidelines to perform the current optimum treatment by organizing effective and efficient treatments of hemangiomas and vascular malformations, confirming the safety, and systematizing treatment, employing evidence-based medicine techniques and aimed at improvement of the outcomes. Clinical questions (CQs) were decided based on the important clinical issues. For document retrieval, key words for literature searches were set for each CQ and literature published from 1980 to the end of December 2020 was searched in PubMed and Japana Centra Revuo Medicina (JCRM). The strengths of evidence and recommendations acquired by systematic reviews were determined following the Medical Information Network Distribution Service (Minds) technique. A total of 38 CQs were used to compile recommendations and the subjects included efficacy of resection, sclerotherapy/embolization, drug therapy, laser therapy, radiotherapy, and other conservative treatment, differences in appropriate treatment due to the location of lesions and among symptoms, appropriate timing of treatment and tests, pathological diagnosis deciding the diagnosis, and causal genes of vascular anomalies. Thus, the Japanese Clinical Practice Guidelines for Vascular Tumors, Vascular Malformations, Lymphatic Malformations, and Lymphangiomatosis 2022 have been prepared as the evidence-based guidelines for the management of vascular anomalies.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 41881561 · DOI · PMC13017083

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Vascular anomalies [5]
    Mulliken JB, Fishman SJ, Burrows PE · Curr Probl Surg · 2000 · cited 328 times (Europe PMC)
  • Research article Thoracic lymphangiomas, lymphangiectasis, lymphangiomatosis, and lymphatic dysplasia syndrome [6]
    Faul JL, Berry GJ, Colby TV, Ruoss SJ, Walter MB, Rosen GD, et al. · Am J Respir Crit Care Med · 2000 · cited 241 times (Europe PMC)
  • Research article Imaging and therapeutic approach of hemangiomas and vascular malformations in the pediatric age group [7]
    Dubois J, Garel L · Pediatr Radiol · 1999 · cited 175 times (Europe PMC)
  • Research article Intralesional bleomycin injection (IBI) treatment for haemangiomas and congenital vascular malformations [8]
    Muir T, Kirsten M, Fourie P, Dippenaar N, Ionescu GO · Pediatr Surg Int · 2004 · cited 151 times (Europe PMC)
  • Research article Lymphatic malformations: review of current treatment [9]
    Perkins JA, Manning SC, Tempero RM, Cunningham MJ, Edmonds JL, Hoffer FA, et al. · Otolaryngol Head Neck Surg · 2010 · cited 145 times (Europe PMC)
  • Research article Genomic microarray in fetuses with increased nuchal translucency and normal karyotype: a systematic review and meta-analysis [10]
    Grande M, Jansen FA, Blumenfeld YJ, Fisher A, Odibo AO, Haak MC, et al. · Ultrasound Obstet Gynecol · 2015 · cited 136 times (Europe PMC)

References

  1. Xiao J, Shao Y, Zhu S, He X. Characteristics of adult abdominal cystic Lymphangioma: a single-center Chinese cohort of 12 cases. . 2020. PMID 32727377 · DOI · PMC7391610
  2. Walker MC, Willner I, Miguel OX, Murphy MSQ, El-Chaâr D, Moretti F, et al.. Using deep-learning in fetal ultrasound analysis for diagnosis of cystic hygroma in the first trimester. . 2022. PMID 35731736 · DOI · PMC9216531
  3. Mimura H, Akita S, Fujino A, Jinnin M, Ozaki M, Osuga K, et al.. Japanese Clinical Practice Guidelines for Vascular Anomalies 2017. . 2020. PMID 32200557 · DOI · PMC7317503
  4. Kinoshita Y, Ishikawa K, Akita S, Koh K, Sasaki S, Jinnin M, et al.. Japanese clinical practice guidelines for vascular tumors, vascular malformations, lymphatic malformations, and Lymphangiomatosis 2022. . 2026. PMID 41881561 · DOI · PMC13017083
  5. Mulliken JB, Fishman SJ, Burrows PE. Vascular anomalies. Curr Probl Surg. 2000. PMID 10955029 · DOI
  6. Faul JL, Berry GJ, Colby TV, Ruoss SJ, Walter MB, Rosen GD, et al.. Thoracic lymphangiomas, lymphangiectasis, lymphangiomatosis, and lymphatic dysplasia syndrome. Am J Respir Crit Care Med. 2000. PMID 10712360 · DOI
  7. Dubois J, Garel L. Imaging and therapeutic approach of hemangiomas and vascular malformations in the pediatric age group. Pediatr Radiol. 1999. PMID 10602864 · DOI
  8. Muir T, Kirsten M, Fourie P, Dippenaar N, Ionescu GO. Intralesional bleomycin injection (IBI) treatment for haemangiomas and congenital vascular malformations. Pediatr Surg Int. 2004. PMID 14740248 · DOI
  9. Perkins JA, Manning SC, Tempero RM, Cunningham MJ, Edmonds JL, Hoffer FA, et al.. Lymphatic malformations: review of current treatment. Otolaryngol Head Neck Surg. 2010. PMID 20493348 · DOI
  10. Grande M, Jansen FA, Blumenfeld YJ, Fisher A, Odibo AO, Haak MC, et al.. Genomic microarray in fetuses with increased nuchal translucency and normal karyotype: a systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2015. PMID 25900824 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-29.

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At a glance

6,284
PubMed records on this heading
7%
published since 2020
614
review articles
2
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-29; they show how much has been written, not how strong the evidence is.

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