- Lymphangiomas are low-flow vascular anomalies that result from abnormal lymphatic development. They most commonly occur in the neck and can cause swelling, pain, and difficulty swallowing. - Treatment options include surgical excision, sclerotherapy, ablation techniques like radiofrequency ablation, and lasers. Complete surgical excision has the lowest recurrence rate but may not always be possible. Sclerotherapy is effective for macrocystic lymphangiomas. - Studies have found no difference in effectiveness between primary surgery and sclerotherapy. Adjuvant therapies like liposuction and sclerotherapy can help treat multi-cystic lesions. Experimental drug therapies are also being explored but require more