{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T05:23:27Z","timestamp":1773379407014,"version":"3.50.1"},"reference-count":27,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T00:00:00Z","timestamp":1762387200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:p>A cystic lymphangioma is a benign malformation that arises from aberrant lymphatic development and commonly occurs in the neck and axilla. While typically asymptomatic, complete surgical excision remains the primary treatment. We present a case of a giant, left axillary cystic lymphangioma (approximately 15\u2005cm\u2009\u00d7\u200915\u2005cm\u2009\u00d7\u200910\u2005cm) in a young female patient. The following endoscopy-assisted surgical approach was employed: a small incision facilitated initial access and establishment of the operative field, while endoscopy provided magnified visualization of the anatomical relationships between the mass and surrounding structures, enabling precise dissection and complete resection. Histopathological examination confirmed the mass to be a cystic lymphangioma. At the 6-month follow-up, the patient exhibited no complications or recurrence. No reports exist on endoscopic management. The successful management of a cystic lymphangioma in this case offers a valuable reference for the clinical treatment of similar lesions.<\/jats:p>","DOI":"10.3389\/fsurg.2025.1702543","type":"journal-article","created":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T12:54:22Z","timestamp":1762433662000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Endoscopy-assisted surgical management for a giant axillary cystic lymphangioma: a case report"],"prefix":"10.3389","volume":"12","author":[{"given":"Hai-wei","family":"Chen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rong-jiang","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan-bang","family":"Niu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiong","family":"Lu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,11,6]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"8932017","DOI":"10.1155\/2020\/8932017","article-title":"Cystic lymphangioma of the greater omentum: a case of partial spontaneous regression and review of the literature","volume":"2020","author":"Maranna","year":"2020","journal-title":"Case Rep Surg"},{"key":"B2","doi-asserted-by":"publisher","first-page":"11","DOI":"10.3390\/jdb10010011","article-title":"Genetic and molecular determinants of lymphatic malformations: potential targets for therapy","volume":"10","author":"Lee","year":"2022","journal-title":"J Dev Biol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"946","DOI":"10.1002\/pd.703","article-title":"Prenatal ultrasonographic detection of an axillo-thoracic lymphangioma: an ethical dilemma","volume":"23","author":"Chiav\u00e9rini","year":"2003","journal-title":"Prenat Diagn"},{"key":"B4","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1016\/j.jpeds.2021.03.024","article-title":"Axillary cystic hygroma","volume":"234","author":"Ho","year":"2021","journal-title":"J Pediatr"},{"key":"B5","doi-asserted-by":"publisher","first-page":"e12946","DOI":"10.1097\/MD.0000000000012946","article-title":"Concomitant breast and axillary lymphangioma in an adult: a case report and a review of the literature","volume":"97","author":"Park","year":"2018","journal-title":"Medicine (Baltimore)"},{"key":"B6","doi-asserted-by":"publisher","first-page":"242","DOI":"10.1186\/s13256-022-03461-0","article-title":"New-onset axillary lymphangioma: a case report","volume":"16","author":"Kurumety","year":"2022","journal-title":"J Med Case Rep"},{"key":"B7","first-page":"147","article-title":"Massive cavernous lymphangioma of the breast and thoracic wall: case report and literature review","volume":"39","author":"Krainick-Strobel","year":"2006","journal-title":"Lymphology"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1051","DOI":"10.1097\/SMJ.0b013e31818318a4","article-title":"Cavernous hemangioma in the axillary region mimicking malignant neoplasia","volume":"101","author":"da Silva","year":"2008","journal-title":"South Med J"},{"key":"B9","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1111\/cyt.13465","article-title":"Cytology of an axillary mass: a rare case","volume":"36","author":"James","year":"2025","journal-title":"Cytopathology"},{"key":"B10","doi-asserted-by":"publisher","first-page":"618","DOI":"10.1007\/s12070-018-1439-8","article-title":"Endoscopically-associated hairline approach to excision of second branchial cleft cysts","volume":"71","author":"Iaremenko","year":"2019","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"B11","doi-asserted-by":"publisher","first-page":"290","DOI":"10.1111\/jgh.13542","article-title":"Gastrointestinal: giant mesenteric cystic lymphangioma","volume":"32","author":"Xu","year":"2017","journal-title":"J Gastroenterol Hepatol"},{"key":"B12","doi-asserted-by":"publisher","first-page":"103917","DOI":"10.1016\/j.amsu.2022.103917","article-title":"Mesenteric cystic lymphangioma in an adult: an unusual case report","volume":"78","author":"Mabrouk","year":"2022","journal-title":"Ann Med Surg (Lond)"},{"key":"B13","doi-asserted-by":"publisher","first-page":"110595","DOI":"10.1016\/j.ijscr.2024.110595","article-title":"Case report: - 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