Cystic lymphangioma confined to mediastinum in an adult

  • A. Serhan Poyraz
  • Dalokay Kilic
  • Ahmet Hatipoglu
  • Mehmet Ozulku
  • Aylin Sar
  • Banu Bilezikci
Case Report

Abstract

Mediastinal lymphangiomas are very rare tumors among the slow-growing mediastinal masses in the literature. We present the successful resection of a 52-year-old woman who was referred to our hospital. Past medical history consisted of surgical treatment for cervical mass and pathological diagnosis of lymphoma nine years earlier. She underwent postoperative radiotherapy. Preoperative chest roentgenogram and computed tomogram of the chest showed a cystic mass in the anterior mediastinum. The tumor was completely resected. The preoperative diagnosis was never questioned until the histopathological examination confirmed that the lesion was a cystic lymphangioma. Cystic lymphangiomas are benign tumors with the evidence of progression in tumor size and invasion into the vital structures. As our case shows, the tumor involvement with the vital structures causes difficulty in removal.

Key words

cystic lymphangioma mediastinal cyst thorax mediastinum 

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References

  1. 1.
    Brown LR, Reiman HM, Rosenow EC 3rd, Gloviczki PM, Divertie MB. Intrathoracic lymphangioma. Mayo Clin Proc 1986; 61: 882–92.PubMedGoogle Scholar
  2. 2.
    Bossert T, Gummert JF, Mohr FW. Giant cystic lymphangioma of the mediastinum. Eur J Cardiothorac Surg 2002; 21:340.PubMedCrossRefGoogle Scholar
  3. 3.
    Charruau L, Parrens M, Jougon J, Montaudon M, Blachere H, Latrabe V, et al. Mediastinal lymphangioma in adults: CT and MR imaging features. Eur Radiol 2000; 10: 1310–4.PubMedCrossRefGoogle Scholar
  4. 4.
    Hilliard RI, McKendry JB, Phillips MJ. Congenital abnormalities of the lymphatic system: A new clinical classification. Pediatrics 1990; 86: 988–94.PubMedGoogle Scholar
  5. 5.
    Pui MH, Li ZP, Chen W, Chen JH. Lymphangioma: Imaging diagnosis. Australas Radiol 1997; 41: 324–8.PubMedGoogle Scholar
  6. 6.
    Shaffer K, Rosado-de-Christenson ML, Patz EF Jr, Young S, Farver CF. Thoracic lymphangioma in adults: CT and MR imaging features. AJR Am J Roentgenol 1994; 162: 283–9.PubMedGoogle Scholar
  7. 7.
    Topcu S, Soysal O, Balkan E, Yalcinkaya I, Demircan S, Gulhan E. Mediastinal cystic lymphangioma: Report of two cases. Thorac Cardiovasc Surg 1997; 45: 209–10.PubMedCrossRefGoogle Scholar
  8. 8.
    Cheng LH, Wells FC. A multidisciplinary approach to recurrent cervicothoracic cystic hygroma in an adult. Br J Oral Maxillofac Surg 2004; 42: 66–8.PubMedCrossRefGoogle Scholar

Copyright information

© Japanese Association for Thoracic Surgery 2004

Authors and Affiliations

  • A. Serhan Poyraz
    • 1
  • Dalokay Kilic
    • 1
  • Ahmet Hatipoglu
    • 1
  • Mehmet Ozulku
    • 1
  • Aylin Sar
    • 1
    • 2
  • Banu Bilezikci
    • 1
    • 2
  1. 1.From Department of Thoracic and Cardiovascular SurgeryBaskent UniversityAnkaraTurkey
  2. 2.Department of Pathology, Faculty of MedicineBaskent UniversityAnkaraTurkey
  3. 3.Department of Thoracic and Cardiovascular Surgery, Faculty of MedicineBaskent University, Hoca Cihan Man. Saray Cad. No: 1KonyaTurkey

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