Adrenal Cystic Lymphangioma with Radiological, Clinical and Histopathological Findings, Case report.
Abstract
Cystic lymphangiomas are benign lesions originating from lymphatic endothelial cells. It occurs due to developmental anomalies of lymphatic vessels. They are usually localized in the head and neck region. Cystic lymphangiomas of adrenal origin are very rare. This presentation aims to report a case of left-sided adrenal cystic lymphangioma detected incidentally on radiological examination due to abdominal pain, with clinical, radiological, and pathological findings. A 65-year-old female patient was admitted to our clinic with abdominal pain. In the abdominal examination, the pain was detected in the epigastric region and left the upper quadrant with palpation. No pathology was observed in the complete blood count and biochemical parameters, except for a CRP elevation of 10.2 mg/dL. In examination with ultrasonography (US), in the left upper quadrant of the abdomen, in the localization of the adrenal gland, a multilocular cystic lesion with partially dense contents, which is not vascularised by Doppler US, containing thin echogenic septa was detected. Enhanced contrast multidetector computed tomography was performed to determine the nature and characterization of the mass. A 60x57 mm cystic lesion with multi-lobulated contour and fluid density was defined in the left adrenal gland. The patient was diagnosed with cystic lymphangioma radiologically and was operated upon due to symptoms and size. Pathological diagnosis was reported as cystic lymphangioma. Preoperative clinical and radiological correct diagnosis is critical because the treatment approach and prognosis may differ from other adrenal tumors or cysts.
Keywords
Adrenal Cystic Lymphangioma with Radiological Clinical and Histopathological Findings Case report.
References
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- Joliat GR, Melloul E, Djafarrian R, Schmidt S, Fontanella S, Yan P, Demartines N, Halkic N. Cystic lymphangioma of the adrenal gland: report of a case and review of the literature. World J Surg Oncol. 2015 Feb 15;13:58. doi: 10.1186/s12957-015-0490-0.
- Zhao M, Gu Q, Li C, Yu J, Qi H. Cystic lymphangioma of adrenal gland: a clinicopathological study of 3 cases and review of literature. Int J Clin Exp Pathol. 2014 Jul 15;7(8):5051-6.
- Ernesto L-CC, Lizbeth ROD, Uriel C-G, Rebeca A-R, Daniel C-R, Paloma A-V, Jazmín de AG, Armando G-D. Adrenal cystic lymphangioma presenting as a nonfunctioning adrenal carcinoma in a 45-year-old male: Case report. J Clin Transl Endocrinol. Case Reports. 2020:16(2):100062. doi: 10.1016/j.jecr.2020.100062.
- Sworczak K, Babńiska A, Stanek A, Lewczuk A, Siekierska-Hellmann M, Błaut K, Drobińska A, Basiński A, Lachński AJ, Czaplińska-Kałas H, Gruca Z. Clinical and histopathological evaluation of the adrenal incidentaloma. Neoplasma. 2001;48(3):221-6.
- Wan S, Liu X, Tian B, Cao D, Li M, He Y, Song B. An unexpected case report of adrenal lymphangioma: Mimicking metastatic tumor on imaging in a patient with pancreatic cancer. Front Endocrinol (Lausanne). 2021 Jan 6;11:610744. doi: 10.3389/fendo.2020.610744.
- Zhang X, Ning J. A rare case of fetal retroperitoneal solid mature teratoma. Asian J Surg. 2023 May 16:S1015-9584(23)00690-5. doi: 10.1016/j.asjsur.2023.05.016.
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Abstract
References
- Yaegashi H, Nohara T, Shigehara K, Izumi K, Kadono Y, Mizokami A. A case of adrenal lymphangioma resected laparoscopically with minimal invasiveness. Urol Case Rep. 2020 Sep 2;33:101400. doi: 10.1016/j.eucr.2020.101400.
- Ellis CL, Banerjee P, Carney E, Sharma R, Netto GJ. Adrenal lymphangioma: clinicopathologic and immunohistochemical characteristics of a rare lesion. Hum Pathol. 2011 Jul;42(7):1013-8. doi: 10.1016/j.humpath.2010.10.023.
- Secil M, Demir O, Yorukoglu K. MRI of adrenal lymphangioma: a case report. Quant Imaging Med Surg. 2013 Dec;3(6):347-8. doi: 10.3978/j.issn.2223-4292.2013.12.07.
- Rowe SP, Bishop JA, Prescott JD, Salvatori R, Fishman EK. CT Appearance of adrenal cystic lymphangioma: Radiologic-pathologic correlation. AJR Am J Roentgenol. 2016 Jan;206(1):81-5. doi: 10.2214/AJR.15.14786.
- Trojan J, Schwarz W, Zeuzem S, Dietrich CF. Cystic adrenal lymphangioma: incidental diagnosis on abdominal sonography. AJR Am J Roentgenol. 2000 Apr;174(4):1164-5. doi: 10.2214/ajr.174.4.1741164.
- Kafadar MT, Özyuvalı E, Miryaguboğlu AM, Çaviş T, İnan A. Incidental giant adrenal lymphangioma presenting as nonfunctional cystic mass. Turk J Surg. 2021 Sep 28;37(3):299-302. doi: 10.47717/turkjsurg.2021.3785.
- Joliat GR, Melloul E, Djafarrian R, Schmidt S, Fontanella S, Yan P, Demartines N, Halkic N. Cystic lymphangioma of the adrenal gland: report of a case and review of the literature. World J Surg Oncol. 2015 Feb 15;13:58. doi: 10.1186/s12957-015-0490-0.
- Zhao M, Gu Q, Li C, Yu J, Qi H. Cystic lymphangioma of adrenal gland: a clinicopathological study of 3 cases and review of literature. Int J Clin Exp Pathol. 2014 Jul 15;7(8):5051-6.
- Ernesto L-CC, Lizbeth ROD, Uriel C-G, Rebeca A-R, Daniel C-R, Paloma A-V, Jazmín de AG, Armando G-D. Adrenal cystic lymphangioma presenting as a nonfunctioning adrenal carcinoma in a 45-year-old male: Case report. J Clin Transl Endocrinol. Case Reports. 2020:16(2):100062. doi: 10.1016/j.jecr.2020.100062.
- Sworczak K, Babńiska A, Stanek A, Lewczuk A, Siekierska-Hellmann M, Błaut K, Drobińska A, Basiński A, Lachński AJ, Czaplińska-Kałas H, Gruca Z. Clinical and histopathological evaluation of the adrenal incidentaloma. Neoplasma. 2001;48(3):221-6.
- Wan S, Liu X, Tian B, Cao D, Li M, He Y, Song B. An unexpected case report of adrenal lymphangioma: Mimicking metastatic tumor on imaging in a patient with pancreatic cancer. Front Endocrinol (Lausanne). 2021 Jan 6;11:610744. doi: 10.3389/fendo.2020.610744.
- Zhang X, Ning J. A rare case of fetal retroperitoneal solid mature teratoma. Asian J Surg. 2023 May 16:S1015-9584(23)00690-5. doi: 10.1016/j.asjsur.2023.05.016.
- Çobanoğlu B, Karataş P, Serhatlıoğlu S, Doğru O. Cystic adrenal lymphangioma: Differential diagnosis. Turkiye Klinikleri J Med Sci. 2009;29(2):566-8.
Details
| Primary Language | English |
|---|---|
| Subjects | Pathology |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | October 29, 2023 |
| Submission Date | August 2, 2023 |
| Acceptance Date | September 24, 2023 |
| Published in Issue | Year 2023 Volume: 5 Issue: 4 |
