Case Report: Giant unresectable Lymphangioma of the trunk managed via intra-tumour injections of bleomycin

Surgical excision was once considered the mainstay of treatment for lymphangiomas. however, that paradigm is now changing with sclerotherapy emerging as a viable alternative. a 22 years old girl presented with a mucopurulent and painful discharge from an extensive wound in the trunk. chest roentogram showed a large soft tissue abnormality with multiple calcifications in the right upper abdomen and lower thorax. magnetic resonance imaging revealed an extensive lobulated mass measuring 27 x 19 cm. due to the extensive involvement of tissues, surgical excision did not appear to be a favourable option in this case. local injections of bleomycin were successfully administered; resulting in complete regression of the lesion. there has been no recurrence at 2 years of follow up. use of bleomycin sclerotherapy appears to be a safe and effective management strategy and obviates the need for primary surgery especially in extensive lymphangiomas.