Cystic Lymphangioma of the Colon: Endoscopic Removal beyond the Frontiers of Size

Badipatla, Kanthi Rekha; Chandrala, Chaitanya; Ayyadurai, Puvanalingam; Biyyam, Madhavi; Sapkota, Binita; Niazi, Masooma; Nayudu, Suresh Kumar

doi:10.1159/000462966

Cited by 8 publications

(8 citation statements)

References 12 publications

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“…To our knowledge, this is the first case described with two lesions. Previously reported cases of colonic hemangiolymphangiomas were diagnosed during middle age, as in our patient, with both genders being equally affected (2). The clinical presentation is variable, depending on the size and consequent mass effect or complications.…”

Section: Discussionsupporting

confidence: 53%

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Miniprobe endoscopic ultrasonography for the diagnosis of colon hemangiolymphangioma: a case report

et al. 2019

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Hemangiolymphangioma is a very rare benign vascular tumor that affects the gastrointestinal tract in less than 1% of cases. We present the case of an asymptomatic 52-year-old female referred for endoscopic colorectal cancer screening. A sub-epithelial pediculated polypoid lesion in the splenic angle of the colon was identified. An endoscopic ultrasonography with a miniprobe was performed, which identified an anechoic lesion in the submucosal layer. Surgery was performed and the histologic findings were compatible with two hemangiolymphangioma lesions. This is one of the few cases reported in the literature of hemangiolymphangioma diagnosed by miniprobe endoscopic ultrasonography and the first to describe two lesions in the same patient.

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Section: Discussionsupporting

confidence: 53%

“…Hemangiolymphangioma is a very rare benign vascular tumor with an incidence of 1.2-2.8/1,000 newborns (1). It occurs predominantly in young patients and less than 1% affect the gastrointestinal tract (1,2). The lack of effective noninvasive diagnostic techniques has led to surgical or endoscopic resection.…”

Section: Introductionmentioning

confidence: 99%

Miniprobe endoscopic ultrasonography for the diagnosis of colon hemangiolymphangioma: a case report

et al. 2019

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“…Cystic lymphangioma can occur in any part of the body, however, that frequently occurs in the head and neck, and it may rarely observe in the pelvic. [10] There was no pathological evidence of cystic lymphangioma in the case that we reported. The right part of the pelvic cavity is still an untypical site of cystic lymph node metastasis, cystic lymphangioma, and cystic lymphatic metastasis combined with cystic lymphangioma.…”

Section: Discussionmentioning

confidence: 70%

Cystic metastasis of prostate cancer

Zhang¹,

Bian²,

et al. 2018

Medicine

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Rationale:Prostate cancer often metastasizes (most commonly to the pelvic lymph nodes and axial skeleton); however, metastases to the pelvic cavity as a solitary mass are unusual. While metastatic prostate cancer is unconventional in pelvic cavity, cystic pelvic lesions are even more scarce. Accurate identification of cystic metastasis can be helpful in management of prostate cancer.Patient concerns:A 64-year-old male was admitted to our hospital due to urethral irritation symptom and dysuria.Diagnosis:In addition to prostate cancer, abdominal computed tomography (CT) scanning and magnetic resonance imaging (MRI) of the prostate revealed that a cystic mass was located at right pelvic cavity. Histopathological examination diagnosed the pelvic cystic mass as metastasis from prostatic cancer. Immunohistochemistry results demonstrated Calretinin (+), D2-40 (−), Ki-67 (10%+), Vimentin (−), CK-pan (+), CK5/6 (−), WT-1 (−), PSA (+), SALL4 (−), Villin (−), CK20 (−), CK7 (−), PAX-8 (−), and TTF-1 (−).Interventions:The cystic mass was removed. Primary cancer of the prostate was reserved as well. After discharge, the patient underwent in a two-year androgen deprivation therapy (ADT) treatment.Outcomes:After 13 months of discharge, no disease progression was found in the patient.Lessons:Although cystic prostate cancer is rare, the occurrence possibility should be considered when cystic lesions are accompanied with prostate cancer.

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“…Los linfangiomas son lesiones benignas o malformaciones resultantes de un fallo en la comunicación de los canales linfáticos con el sistema linfático principal durante el desarrollo embriológico y están compuestos por múltiples canales linfáticos dilatados rodeados por células endoteliales (4)(5)(6) . Se ve con mayor frecuencia en edades tempranas (niños) a nivel de la cabeza, cuello y región axilar, sin embargo puede presentarse también, en forma excepcional, en la cavidad abdominal o mediastinal, particularmente en adultos (2) .…”

Section: Discussionunclassified

“…Es importante destacar que puede existir una sobreposición de linfangiectasia con linfangioma quístico al momento de realizar el estudio anatomopatológico; por ende, las características histológicas más confiables para distinguirla la primera de la segunda es la presencia de músculo liso rodeando los espacios linfáticos y el revestimiento circunferencial completo por células endoteliales (3) . Estos hallazgos pudieron observarse en el trabajo realizado por Kim et al (7) con un caso de linfangioma quístico en colon descendente y en otros reportes de casos a nivel mundial (2)(3)(4)(5)(6)(8)(9)(10)(11) . La biopsia de recto de nuestra paciente demostró la presencia de los canales linfáticos dilatados, rodeados de células endoteliales, hallazgos que se corresponden con los descritos por la literatura mundial, además de presencia de pólipos adenomatosos en colon sigmoides, que pueden también estar presentes en el linfangioma quístico de colon.…”

Section: Discussionunclassified

Linfangioma quístico de recto-sigmoides en un hospital público de Lima, Perú: reporte de caso

Torres¹,

García²,

Rosell³

2020

Rev Gastroenterol Peru

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Los linfangiomas son lesiones benignas que se deben a una malformación del desarrollo en el sistema linfático que ocurredurante la etapa embrionaria. Son más frecuentes en niños. Pueden encontrarse en cavidad abdominal, siendo la afectación del tracto gastrointestinal en forma ocasional. La presentación clínica es variada, dependiendo de la localización de los linfangiomas, pudiendo tener formas asintomáticas y, en ocasiones, presentarse con dolor abdominal, alteraciones del hábito defecatorio, rectorragia, etc. El diagnóstico se realiza por endoscopía, imágenes auxiliares y se confirma por medio de histología. Presentamos un caso de linfangioma quístico de recto-sigmoides que tuvimos en nuestro hospital; la paciente se presentó con proctalgia, alternancia evacuatoria y rectorragia intermitente. Examen físico sin alteraciones significativas. Durante la colonoscopía, a nivel de recto y sigmoides, se encontró múltiples lesiones protruidas, a modo de protuberancias, cuya superficie era lisa, trasluciente y de coloración azulada, con algunos orificios pseudodiverticulares, a predominio de recto. En la ultrasonografía endoscópica se observó, a nivel del recto, engrosamiento de la submucosa con múltiples imágenes anecoicas, microquísticas, algunas de ellas con tabiques finos. El diagnóstico definitivo se realizó mediante histopatología, que describe conductos linfáticos dilatados, rodeados de células endoteliales, hallazgos consistentes con linfangioma quístico derecto-sigmoides.

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Cystic Lymphangioma of the Colon: Endoscopic Removal beyond the Frontiers of Size

Cited by 8 publications

References 12 publications

Miniprobe endoscopic ultrasonography for the diagnosis of colon hemangiolymphangioma: a case report

Miniprobe endoscopic ultrasonography for the diagnosis of colon hemangiolymphangioma: a case report

Cystic metastasis of prostate cancer

Linfangioma quístico de recto-sigmoides en un hospital público de Lima, Perú: reporte de caso

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