Asymptomatic lymphangioma involving the spleen and retroperitoneum in adults |
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Authors: | Sook Hee Chung Young Sook Park Yun Ju Jo Seong Hwan Kim Dae Won Jun Byoung Kwan Son Jun Young Jung Dae Hyun Baek Dong Hee Kim Yoon Young Jung Won Mi Lee |
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Affiliation: | 1. Department of Internal Medicine, Eulji General Hospital,Eulji University School of Medicine, Seoul 139-711, South Korea 2. Department of Internal Medicine, Eulji General Hospital,Eulji University School of Medicine, Seoul 139-711, South Korea;Department of General Surgery, Eulji General Hospital, Eulji University School of Medicine, Seoul 139-711,South Korea 3. Department of Internal Medicine, Eulji General Hospital,Eulji University School of Medicine, Seoul 139-711, South Korea;Department of Radiology, Eulji General Hospital, Eulji University School of Medicine, Seoul 139-711,South Korea 4. Department of Internal Medicine, Eulji General Hospital,Eulji University School of Medicine, Seoul 139-711, South Korea;Department of Pathology, Eulji General Hospital,Eulji University School of Medicine, Seoul 139-711,South Korea |
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Abstract: | Lymphangioma, a benign neoplasm of the lymphatic system, is common in children but rare in adults. Its clinical manifestations include abdominal pain, nausea,vomiting and a palpable mass. However, abdominal sonography or abdominal computed tomography (CT) scan can also incidentally reveal lymphangioma. A larger or symptomatic lymphangioma is treated with total resection to prevent recurrence, infection, torsionand enlargement. Although lymphangioma rarely becomes malignant, its prognosis is generally good.We report a cystic lymphangioma of the spleen and retroperitoneum, which was incidentally found in a 56-year-old man who was hospitalized due to a colon mass. Physical examination showed no specific findings.Abdominal CT revealed a 5.7 cm, non-enhanced multilobulated cystic mass with multiple septa in the spleen and a 10 cm lobulated cystic mass in the paraaorticarea. Splenectomy and retroperitoneal resectionof the cystic mass were conducted. The endothelium of splenic and retroperitoneal cyst was immunohistochemically stained with D2-40 antibody. The patient was finally diagnosed with splenic cystic and retroperitoneal cavernous lymphangioma. |
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Keywords: | Lymphangioma Retroperitoneum Spleen |
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