A Case Report with Lymphangiomatosis of the Colon

Jung, Sung Won; Myung, Jae; Lee, Joung Il; Joo, Kwang Ro; Choe, Jun-Ho; Shin, Hyun Phil; Kim, Kyo Young

doi:10.3346/jkms.2010.25.1.155

Cited by 17 publications

(16 citation statements)

References 11 publications

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“…We administered a small intestinal fiberscopy, which clearly revealed the pathological changes of the intestine that could explained why this patient had hypoproteinemia. Aggressive surgery should be avoided in these symptomless cases because it is now known that these lesions are benign [9] . Kochman et al [10] suggested that asymptomatic lymphangiomas should most likely be left alone.…”

Section: Discussionmentioning

confidence: 99%

Abdominal lymphangiomatosis in a 38-year-old female: Case report and literature review

Lin

Zhang

Chen

et al. 2014

WJG

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Lymphangioma is an uncommon benign tumor that develops in the lymphatic system. Abdominal lymphangiomatosis is extremely rare in adult patients, and the clinical symptoms of this condition are complicated and atypical. We report a case of abdominal lymphangiomatosis in a 38-year-old female who presented with intestinal bleeding and protein-losing enteropathy, as well as lesions in the lung and bones. A computed tomography scan revealed multiple small cystic lesions without enhancement. Histological examination revealed microscopic cysts were submucosal, with walls composed of thin fibrous tissue, and D2-40 stained highlight the lining of the lymphatic channels by immunohistochemical method. We make a comparison with the cases reported before, and also discuss the diagnose of diffuse pulmonary lymphangiomatosis and Gorham's disease.

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Section: Discussionmentioning

confidence: 99%

Abdominal lymphangiomatosis in a 38-year-old female: Case report and literature review

Lin

Zhang

Chen

et al. 2014

WJG

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“…Colonic lymphangioma used to be considered an extremely rare disease, but recently, along with the increasing prevalence of endoscopy and endoscopic ultrasound (EUS), it has become more commonly encountered and has been reported more frequently (5,6). There are several reports on the use of EUS for the diagnosis of colonic lymphangioma (4,6). The present study reports a case of colonic lymphangiomatosis manifested as recurrent bowel bleeding, which was diagnosed by EUS and treated with laparoscopic segmental sigmoid colon resection.…”

Section: Introductionmentioning

confidence: 93%

“…The majority of lymphangiomas usually occur in the head, neck regions and axillary areas, but rarely in the colon (2)(3)(4). Colonic lymphangioma used to be considered an extremely rare disease, but recently, along with the increasing prevalence of endoscopy and endoscopic ultrasound (EUS), it has become more commonly encountered and has been reported more frequently (5,6). There are several reports on the use of EUS for the diagnosis of colonic lymphangioma (4,6).…”

Section: Introductionmentioning

confidence: 99%

Lymphangiomatosis of the sigmoid colon - a rare cause of lower gastrointestinal bleeding: A case report and review of the literature

2016

Oncology Letters

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Abstract. The present study reports the case of a 79-year-old Chinese man who presented to The First Affiliated Hospital of Xi'an Jiaotong University (Xi'an, China) for the treatment of lower gastrointestinal bleeding. Multiple cystic masses in the sigmoid colon were observed with colonoscopy, and through endoscopic ultrasound (EUS), these cystic masses were confirmed to be echo-free and to exhibit septal walls in the submucosal layer; in consequence, lymphangiomatosis of the sigmoid colon was diagnosed. Considering the repeated bleeding, laparoscopy-assisted partial sigmoid colon resection was performed. The excised specimens were multiple vesicular and soft masses of ~1 cm in diameter, which were located in the submucosal layer and were surrounded by flat endothelial cells. Immunohistochemistry revealed that the specimens were positive for the specific lymphatic endothelial marker D2-40. The pathological diagnosis was consistent with the EUS findings. In the 2-year follow-up after the operation, no bleeding or other complications were noticed.

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“…Generalised lymphangiomatosis is usually associated with visceral and osteolytic involvement and poor prognosis (9). It is also increasingly being recognized in the setting of the colon with increased use of endoscopic ultrasonography (10).…”

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confidence: 99%

A Unique Cause of a Rare Disorder, Unilateral Macromastia Due to Lymphangiomatosis of the Breast: A Case Report

Hynes¹,

McLaughlin

Kerin³

et al. 2012

The Breast Journal

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Macromastia and in particular unilateral macromastia is a rare clinical entity. It relates to massive enlargement of the breast in non-obese women. This case report describes an initially mild unilateral asymmetry occurring nine months postpartum in a 33-year-old female. However, following her second pregnancy within 12 months, her left breast became severely enlarged. This did not improve on delivery. No discrete lesion was seen on imaging and no significant abnormalities were seen in her blood chemistry. Surgical treatment was a mammoplasty and 580 g of mammary tissue was removed. Grossly, there was spongiform subcutaneous tissue with diffuse extension. On histology, this consisted of a highly complex and diffuse pattern of infiltration and of cavernous empty channels lined by a delicate attenuated endothelium which was CD34 and D2-40 positive. The appearances were consistent with lymphangiomatosis, more commonly encountered in the limbs, heretofore. Lymphangiomatosis has not been previously described in breast tissue and only a single case report exists for such a lesion in axillary tissue. Treatment of such lesions in the periphery by surgical excision is very difficult and excision without being radical can be impossible. Follow up of our patient, shows no evidence of recurrence in this patient. Our case report describes the clinicopathological features, differential diagnosis to be considered and treatment, in addition to reviewing the relevant literature.

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A Case Report with Lymphangiomatosis of the Colon

Cited by 17 publications

References 11 publications

Abdominal lymphangiomatosis in a 38-year-old female: Case report and literature review

Abdominal lymphangiomatosis in a 38-year-old female: Case report and literature review

Lymphangiomatosis of the sigmoid colon - a rare cause of lower gastrointestinal bleeding: A case report and review of the literature

A Unique Cause of a Rare Disorder, Unilateral Macromastia Due to Lymphangiomatosis of the Breast: A Case Report

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