1.The diagnosis and treatment of one huge cystic lymphangioma in etropharyngeal space.
Hua ZHANG ; Xicheng SONG ; Chuanliang JIA
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2016;30(2):159-160
One child was hospitalized because of repeated cough and sputum. The biopsy diagnosis in local hospital was cystic lymphangioma in retropharyngeal space. We carried out transoral incision and drainage by catheter under general anesthesia. Put into the surgical cavity a suction drainage tube, and injected 5 mg dexamethasone and 8mg Bleomycin. He had nasogastric liquid diet after operation. We removed the suction drainage tube two weeks later. No recurrence was found following up over two years.
Child
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Humans
;
Lymphangioma, Cystic
;
diagnosis
;
surgery
;
Pharynx
;
pathology
;
surgery
2.Acquired Omental Cystic Lymphangioma after Subtotal Gastrectomy: A Case Report.
Jong Han KIM ; Woo Sang RYU ; Byung Wook MIN ; Tae Jin SONG ; Gil Soo SON ; Seung Joo KIM ; Young Sik KIM ; Jun Won UM
Journal of Korean Medical Science 2009;24(6):1212-1215
We herein describe a case of cystic lymphangioma in the greater omentum of the remnant stomach, which is thought it to be related with subtotal gastrectomy 10 yr ago for early gastric cancer. A 76-yr-old man was admitted to our department with postprandial abdominal discomfort and bowel habit change. Intraabdominal multilocular cystic mass was detected by ultrasonography and computed tomography. We performed a complete En-bloc tumor resection including spleen and distal pancreas, and histological examination confirmed cystic lymphangioma originated from the greater omentum of the remnant stomach. Although the etiology of omental lymphangioma remains largely unclear, these findings suggested strongly that obstruction of the lymphatic vessels after gastric resection for gastric carcinoma might be the most plausible cause. The surgical extirpation with resection of organs involved appears to be a treatment of choice for such unusual case.
Aged
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*Gastrectomy
;
Gastric Stump/*pathology
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Humans
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Lymphangioma, Cystic/*pathology
;
Male
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Omentum/*pathology
;
Stomach Neoplasms/surgery
3.A case of lymphangioma in the jejunal mesentery preoperatively diagnosed by lipoprotein electrophoresis.
Soo Young KIM ; Hyo Jin PARK ; Sung Woo CHOI ; Sang In LEE ; Ki Whang KIM ; Seung Ho CHOI
Korean Journal of Medicine 2003;64(1):101-104
More than 95% of all cases of lymphangioma occur in head, neck and axilla. But, intraabdominal lymphangioma is rare. The etiology of intraabdominal lymphangioma is thought to be related with the congenital malfomation of lymphatics. It is more common in children than in adults and most of them are known to be cystic lymphangioma in pathology. The clinical symptoms of mesenteric lymphangioma seem to be related with the size and location of the tumor. We report a case of lymphangioma which was diagnosed preoperatively by lipoprotein electrophoresis in a 21-year-old woman with periumblical pain.
Adult
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Axilla
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Child
;
Electrophoresis*
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Female
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Head
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Humans
;
Jejunum
;
Lipoproteins*
;
Lymphangioma*
;
Lymphangioma, Cystic
;
Mesentery*
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Neck
;
Pathology
;
Young Adult
4.Fetal Axillary Cystic Hygroma Detected by Prenatal Ultrasonography: A Case Report.
Tae Bok SONG ; Cheol Hong KIM ; Seok Mo KIM ; Yoon Ha KIM ; Ji Soo BYUN ; Eun Kyung KIM
Journal of Korean Medical Science 2002;17(3):400-402
Fetal cystic hygroma is a rare developmental congenital anomaly of the lymphatic system, characterized by the formation of a multilocular, variable sized cystic mass. Most of cystic hygromas are found in the neck and other rare locations include axilla, mediastinum, and limbs. There are many papers about cystic hygroma colli, but there are only a few papers about fetal axillary cystic hygroma and no domestic papers. We present a case of fetal axillary cystic hygroma diagnosed antenatally followed by full-term delivery in a 30-yr-old woman. Operation was performed on the 8th day after birth and the mass was excised and confirmed as cystic hygroma.
Adult
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Axilla
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Female
;
Humans
;
Infant, Newborn
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Lymphangioma, Cystic/*pathology/*ultrasonography
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Pregnancy
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Pregnancy Complications
;
*Ultrasonography, Prenatal
5.Treatment of Splenic Cyst: Consideration of Laparoscopic Splenic Function Preserving Surgery through Our 5 Cases.
Yoo Shin CHOI ; Hyung Ho KIM ; Ho Sung HAN
Journal of the Korean Surgical Society 2005;68(5):400-406
PURPOSE: Concerns about patients experiencing overwhelming postsplenectomy sepsis have led to the development of splenic preservation procedures, and the advanced understanding of splenic vascular anatomy has permitted splenic preserving operations and conservative medical management. These are now accepted alternative procedure when dealing with pathologically benign splenic conditions and traumatic splenic injuries. The aim of the present paper was to evaluate the effectiveness and safety to this new spleen conserving procedure compare to open splenectomy. METHODS: From December 1999 through April 2004, five patients with splenic cysts who were treated by splenectomy and laparoscopic function preserving surgery (LFPS) were enrolled in this study. We analyzed the operation time, the amount of blood loss, the time to restart a regular diet, the hospital stay and the postoperative CT to retrospectively confirm the results of the operations. RESULTS: In four cases, the pathologic findings were splenic pseudocysts, and the other case was a cystic lymphangioma. The operative times were 138 minutes (range: 120~156 minutes) for LFPS and 130 minutes (range: 100~170 minutes) for total splenectomy. The amounts of blood loss were 20~30 cc for LFPS, and 20~800 cc for open splenectomy. For LFPS, the patients started their diet at postoperative day 1st and they were discharged at 4th (range: 3~5) day without complication. But for total splenectomy, normal diet was started at the 3rd day (range: 2~4) and they were discharged at the 11th day (range: 3~22) and one patient had complications. For LFPS, on the CT that was done 3 month after operation, we confirmed the complete excision of cysts without any operation related complication, there was no evidence of recurrence and the splenic parenchyme was preserved in a normal fashion in all cases. CONCLUSION: The success and relative ease of performing this laparoscopic function preserving procedure will pave the way for its future use in other selective cases involving splenic pathology.
Diet
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Humans
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Length of Stay
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Lymphangioma, Cystic
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Operative Time
;
Pathology
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Recurrence
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Retrospective Studies
;
Sepsis
;
Spleen
;
Splenectomy
6.Primary Idiopathic Chylopericardium Associated with Cervicomediastinal Cystic Hygroma.
Byoung Chul CHO ; Seok Min KANG ; Seung Chul LEE ; Jeong Geun MOON ; Dong Hyung LEE ; Sang Hyun LIM
Yonsei Medical Journal 2005;46(3):439-444
Chylopericardium is a rare clinical entity in which chylous fluid accumulates in the pericardial cavity. We report a case of primary idiopathic chylopericardium associated with multiple, small cervicomediastinal cystic hygromas occurring in an asymptomatic 43-year-old woman with no history of trauma, thoracic surgery, malignancy, infection or tuberculosis. Echocardiography showed a large amount of pericardial effusions and pericardial fluid analysis revealed inappropriately elevated triglyceride. We did not demonstrate communication between the thoracic duct and the pericardial sac by lymphangiography and chest computed tomography. She successfully responded to 30 days of continuous pericardial drainage and 15 days of a medium-chain triglyceride diet after 30 days of total parenteral nutrition. Follow-up echocardiography 6 months after treatment commencement showed a minimal reaccumulation of pericardial fluid without symptom. We conclude that if a patient is asymptomatic and can well tolerate daily life, surgery including pericardiectomy or ligation of the thoracic duct is not necessarily required.
Adult
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Female
;
Humans
;
Lymphangioma, Cystic/*complications/pathology
;
Mediastinal Cyst/*complications/pathology
;
Neck/pathology
;
Pericardial Effusion/*etiology/pathology/therapy
7.Intrapulmonary Cystic Lymphangioma in a 2-month-old Infant.
Chang Hun LEE ; Young Dae KIM ; Kyun Il KIM ; Young Tak LIM ; Kyung Min LEE ; Kyung Un CHOI ; Jin Suk LEE ; Mee Young SOL
Journal of Korean Medical Science 2004;19(3):458-461
Lymphangioma is an abnormal collection of lymphatics that are developmentally isolated from the normal lymphatic system. Lymphangioma rarely presents as a solitary pulmonary lesion. We report a rare case of intrapulmonary cystic lymphangioma involving the upper lobe of the right lung, which presented with dyspnea in a 2-month-old infant. High-resolution computed tomography (HRCT) of the chest demonstrated a well-circumscribed, multiseptate, cystic lesion in the upper lobe of the right lung, mimicking the feature of type I congenital cystic adenomatoid malformation. The tumor was removed by bilobectomy of the upper and middle lobes of the right lung, and its pathologic examination confirmed the diagnosis of an intrapulmonary cystic lymphangioma.
Female
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Human
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Immunohistochemistry
;
Infant
;
Lung/pathology
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Lung Neoplasms/*diagnosis/pathology
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Lymphangioma, Cystic/*diagnosis/pathology
;
Tomography, X-Ray Computed
8.Cystic lymphangioma of the spermatic cord in old man: a case report and review of the literature.
Du-jian LI ; Yao-ting XU ; Wen-huan GUO ; Ru-qiang HUANG ; Wei GU ; Xiao-wen XU ; Min XIE ; Yi-feng JING
National Journal of Andrology 2007;13(9):815-817
OBJECTIVETo investigate the clinical and pathological features, diagnosis and treatment of cystic lymphangioma of the spermatic cord.
METHODSOne case of cystic lymphangioma of the spermatic cord in a 71-year-old patient was retrospectively analyzed and the relevant literature was reviewed.
RESULTSThe patient, presented with spermatic cord hydrocele, was treated by local excision of the tumor, which was pathologically diagnosed as cystic lymphangioma. No relapse was found during a 3-month follow-up after the operation.
CONCLUSIONLymphangioma of the spermatic cord is a benign tumor. Preoperation ultrasonography and CT are important for determining the location and nature of lymphangioma. Surgical excision is an effective option for the treatment of cystic lymphangioma of the spermatic cord.
Aged ; Genital Neoplasms, Male ; diagnosis ; surgery ; Humans ; Lymphangioma, Cystic ; diagnosis ; surgery ; Male ; Retrospective Studies ; Spermatic Cord ; pathology ; Treatment Outcome
10.Clinicopathologic features of fetal nuchal cystic hygroma: report of 40 cases.
Xiaobo ZHANG ; Yiqun GU ; Lijuan LU ; Yunfei SUN ; Yingnan WANG ; Aichun WANG ; Junling XIE
Chinese Journal of Pathology 2014;43(3):173-176
OBJECTIVETo study the pathogenesis, pathologic features and prognosis of fetal nuchal cystic hygroma.
METHODSForty autopsied cases of fetal nuchal cystic hygroma were collected during January 2003 to December 2012. The clinical history, pathologic changes and immunohistochemical (EnVision method) findings were reviewed, and the pathogenesis and pathologic characteristics were analyzed.
RESULTSOf the 40 cases, 16 (40.0%) showed single malformation and 24 (60.0%) were associated with multiple malformations in other organs and/or systems.Nineteen cases were septated and 21 were not. The associated malformations occurred in the respiratory system, skeletal system and urinary system.In the cases of combined malformations of umbilical cord, 3 were single umbilical artery malformations and 1 was torsion and stricture of umbilical cord.Four cases had chromosomal analysis, and all were trisomy-21.
CONCLUSIONSFetal nuchal cystic hygroma is a rare disease. The etiology is unknown, but it is not neoplastic.Lymphangioma is divided into 3 types:capillary lymphangioma, cavernous lymphangioma and cystic hygroma according to their expansile growth pattern. The overall prognosis is determined by any co-existing chromosomal anomalies, associated malformations and the time of diagnosis of the cystic hygroma.
Antibodies, Monoclonal, Murine-Derived ; metabolism ; Autopsy ; Calbindin 2 ; metabolism ; Female ; Fetus ; pathology ; Humans ; Hydrops Fetalis ; metabolism ; pathology ; Lymphangioma, Cystic ; metabolism ; pathology ; Male ; Pregnancy ; Pregnancy Outcome