PT - JOURNAL ARTICLE AU - C Luzzatto AU - P Midrio AU - Z Tchaprassian AU - M Guglielmi TI - Sclerosing treatment of lymphangiomas with OK-432 AID - 10.1136/adc.82.4.316 DP - 2000 Apr 01 TA - Archives of Disease in Childhood PG - 316--318 VI - 82 IP - 4 4099 - http://adc.bmj.com/content/82/4/316.short 4100 - http://adc.bmj.com/content/82/4/316.full SO - Arch Dis Child2000 Apr 01; 82 AB - Over a period of seven years, 15 patients (aged from birth to 15 years; median 22 months) with lymphangioma were treated with OK-432; they received a mean of three injections each. Ten received OK-432 as first line treatment; five were treated after surgery (three had a residual lymphangioma after incomplete removal and two had a late recurrence). OK-432 proved to be effective for primitive as well as for residual and recurrent lymphangioma. Seven cases were macrocystic; complete regression was obtained in all. Five cases were microcystic: two had more than 50% regression, and three less than 50%. Three cases were mixed, with both large and microscopic cysts: one had more than 50% regression, and two less than 50%. These last two cases underwent surgery after the sclerosing treatment. The results obtained were excellent in 100% of macrocystic cases; a shrinkage in size was obtained in all microcystic cases. OK-432 is therefore proposed as a first line option for treatment of lymphangiomas.