A late onset solitary mediastinal cystic lymphangioma in a 66-year-old woman who underwent kidney transplantation.
10.12701/yujm.2015.32.2.155
- Author:
Jung Mo LEE
1
;
Sang Hoon LEE
;
Youngmok PARK
;
Chi Young KIM
;
Eun Kyoung GOAG
;
Eun Hye LEE
;
Ji Eun PARK
;
Chang Young LEE
;
Se Kyu KIM
Author Information
1. Division of Pulmonology, Department of Internal Medicine, Institute of Chest Diseases, Yonsei University College of Medicine, Seoul, Korea. SEKYUKIM@yuhs.ac
- Publication Type:Case Report
- Keywords:
Cystic lymphangioma;
Mediastinum;
Video-assisted thoracic surgery
- MeSH:
Adult;
Aged*;
Congenital Abnormalities;
Diagnosis;
Female;
Humans;
Kidney Transplantation*;
Kidney*;
Lymphangioma*;
Lymphangioma, Cystic;
Lymphatic System;
Mediastinal Cyst*;
Mediastinum;
Radiography;
Thoracic Surgery, Video-Assisted;
Thorax
- From:Yeungnam University Journal of Medicine
2015;32(2):155-158
- CountryRepublic of Korea
- Language:English
-
Abstract:
Lymphangioma is a congenital abnormality of the lymphatic system detected primarily in early childhood. There are rare reports of mediastinal lymphangioma in older adults. We hereby report on a 66-year-old female patient who underwent kidney transplantation 20 years previously and who developed pathologically confirmed solitary mediastinal lymphangioma 1 year ago. Chest radiography showed a mediastinal nodule, which was not observed 2 year previously, therefore she was referred to the pulmonary division. She had no symptoms, and chest computed tomography demonstrated a 25-mm, well-defined, low-density nodule located at the anterior mediastinum. The size of the nodule had increased from 25 mm to 34 mm 1 year later, and it was completely resected via video-assisted thoracic surgery. The histological diagnosis was cystic lymphangioma. Therefore, we recommend that clinicians consider cystic lymphangioma as a possible diagnosis even in older patients with a mediastinal cystic mass that shows progressive enlargement.
