Giant Cystic Mediastinal Lymphangioma
  • Ana Catarina Dionísio
    Internal Medicine Department, Centro Hospitalar Universitário Cova da Beira, Covilhã, Portugal
  • Ricardo Gomes
    Internal Medicine Department, Centro Hospitalar Universitário Cova da Beira, Covilhã, Portugal
  • Eduardo Cernadas
    Internal Medicine Department, Centro Hospitalar Universitário Cova da Beira, Covilhã, Portugal
  • Isabel Caballero
    Internal Medicine Department, Centro Hospitalar Universitário Cova da Beira, Covilhã, Portugal
  • José Proença
    Internal Medicine Department, Centro Hospitalar Universitário Cova da Beira, Covilhã, Portugal
  • Didia Lages
    Internal Medicine Department, Centro Hospitalar Universitário Cova da Beira, Covilhã, Portugal
  • Leopoldina Vicente
    Internal Medicine Department, Centro Hospitalar Universitário Cova da Beira, Covilhã, Portugal

Keywords

Cystic lymphangioma, mediastinal tumour, surgical approach

Abstract

Cystic lymphangioma mainly occurs in children and develops from the lymphatic vessels. The present study reports the case of a 36-year-old female patient with a giant cystic mediastinal lymphangioma. She was asymptomatic and the diagnosis was accidental. Imaging studies are important for referral to the Cardio-Thoracic Surgery Department for surgical intervention in order to remove the lesion. It is important that in the case of an enlargement of the mediastinum observed in a thoracic X-ray, the possible diagnosis takes into consideration various hypotheses. Early diagnosis may prevent further growth and infiltration of structures that hinder the surgical approach.

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References

  • Saleiro S, Magalhães A, Moura CS, Hespanhol V. Cystic mediastinal lymphangioma. Rev Port Pneumol 2006;12(6):731–735.

  • Park JG, Aubry MC, Godfrey JA, Midthun DE. Mediastinal lymphangioma: Mayo Clinic experience of 25 cases. Mayo Clin Proc 2006;81(9):1197–1203.

  • Chung JH, Suh YL, Park IA, Jang JJ, Chi JG, Kim YI, et al. A pathologic study of abdominal lymphangiomas. J Korean Med Sci 1999;14:257–262.

  • 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(8):1310–1314.

  • Mosca RC, Pereira GA, Mantesso A. Cystic hygroma: characterization by computerized tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105(5):e65–e69.

  • Khabbaza J, Sethi S, Raymond D, Almeida F. Mediastinal cyst mimicking malignancy in a pipe smoker. Chest 2013;144:21A.

  • Celikten A, Melek H, Citak N, Metin M, Sayar A, Urer N, et al. Minimally invasive excision of multiple cystic lymphangiomas of the mediastinum: a case report. Thorac Cardiovasc Surg 2010;58:498–500.

  • Aprea G, Guida F, Canfora A, Ferronetti A, Giugliano A, Ciciriello MB, et al. Mesenteric cystic lymphangioma in adult: a case series and review of the literature. BMC Surg 2013;13 (Suppl 1):A4.

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    Published: 2019-12-24
    Issue: 2020: Vol 7 No 1 (view)

    How to cite:
    1.
    Dionísio AC, Gomes R, Cernadas E, Caballero I, Proença J, Lages D, Vicente L. Giant Cystic Mediastinal Lymphangioma. EJCRIM 2019;7 doi:10.12890/2019_001323.