The Treatment of Neck Lymphangioma with Intralesional lnjection of Bleomycin

Lymphangioma IS a congenital malformation of the lymphatic vessels. It usually manifests at birth or before the age of 2 years. The neck is the most common site. Some lymphangiomas grow steadily and may cause airway obstruction, feeding difficulties and cosmetic problems. Recurrent inflammation and sudden haemorrhage are potential life threatening complications especially in cervico-mediastinal lesions. For many years surgery was the treatment of choice. However, encasement of adjacent structures such as nerves and vessels may result in nerve injury and other serious complications. Often, total resection is difficult and incomplete excision may lead to lymphorrhea, wound infection and tumour recurrence'. Since the late