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Asymptomatic lymphangioma involving the spleen and retroperitoneum in adults

查看全文 作  者:Sook Hee [1]Chung;Young Sook [1]Park;Yun Ju [1]Jo;Seong Hwan [1]Kim;Dae Won [1]Jun;Byoung Kwan [1]Son;Jun Young [1]Jung;Dae Hyun [1]Baek;Dong Hee [1,2]Kim;Yoon Young [1,3]Jung;Won Mi [1,4]Lee 高影响力作者 机构地区:[1]Department of Internal Medicine,Eulji General Hospital, Eulji University School of Medicine,Seoul 139-711,South Korea;[2]Department of General Surgery,Eulji General Hospital,Eulji University School of Medicine,Seoul 139-711, South Korea;[3]Department of Radiology,Eulji General Hospital,Eulji University School of Medicine,Seoul 139-711, South Korea;[4]Department of Pathology,Eulji General Hospital, Eulji University School of Medicine,Seoul 139-711, South Korea高影响力机构 出  处:《World Journal of Gastroenterology》索引2009年第15卷第44期,共4页高影响力期刊 摘  要: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,torsion and 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 paraaortic area.Splenectomy and retroperitoneal resection of the cystic mass were conducted.The endotheliumof splenic and retroperitoneal cyst was immunohisto- chemically stained with D2-40 antibody.The patient was finally diagnosed with splenic cystic and retroperitoneal cavernous lymphangioma. 关 键 词:淋巴管瘤 脾脏 腹膜 症状 免疫组织化学染色 成人 断层扫描 CT扫描
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