Solitary cystic mediastinal lymphangioma

Khobta, Nataliya; Tomasini, Pascale; Trousse, Delphine; Maldonado, Fabien; Chanez, Pascal; Astoul, Philippe

doi:10.1183/09059180.00002212

Cited by 14 publications

(14 citation statements)

References 13 publications

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“…Most patients with mediastinal cystic lymphangioma are asymptomatic, although chest tightness and dyspnea can be reported, similar to our case [4]. According to previous reports [1, 3–5], mediastinal cystic lymphangioma is a rare entity, typically located in the right superior mediastinum. Brown and colleagues reported that mediastinal cystic lymphangioma accounted for 1.8% of all mediastinal cysts over a 40-year period [3].…”

Section: Discussionsupporting

confidence: 86%

Mediastinal Cystic Lymphangioma in a Patient with Situs Inversus Totalis

Komatsu

Takahashi

2014

Case Reports in Surgery

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We present a case of cystic lymphangioma of the mediastinum complicated with situs inversus totalis. The 70-year-old man underwent thoracoscopic resection of a mediastinal cystic tumor, which was diagnosed as cystic lymphangioma. Cystic lymphangiomas are congenital cystic abnormalities of the lymphatic system. The head and neck area is often involved while the mediastinum is rarely affected. The rarity of this case is further attributed to the coexistence of situs inversus totalis.

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Section: Discussionsupporting

confidence: 86%

Mediastinal Cystic Lymphangioma in a Patient with Situs Inversus Totalis

Komatsu

Takahashi

2014

Case Reports in Surgery

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“…Lymphangiomas are of three types: capillary, cystic, and cavernous [7]. Capillary lymphangiomas are dilatations of capillary-sized lymphatic vessels that are connected to a normal lymphatic network.…”

Section: Discussionmentioning

confidence: 99%

A 36-Year-Old Female with Recurrent Left Sided Pleural Effusion: A Rare Case of Mediastinal Lymphangioma

et al. 2016

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Patient: Female, 36Final Diagnosis: Mediastinal cystic hygromaSymptoms: Chest discomfortMedication: —Clinical Procedure: —Specialty: PulmonologyObjective:Unusual clinical courseBackground:Lymphangioma is an atypical non-malignant, lymphatic lesion that is congenital in origin. Lymphangioma is most frequently observed in the head and neck, but can occur at any location in the body. About 65% of lymphangiomas are apparent at birth, while 80–90% are diagnosed by two years of age. Occurrence in adults is rare, as evidenced by less than 100 cases of adult lymphangiomas reported in the literature.Case report:A 36-year-old Indian woman with a medical history of recurrent pleural effusions presented with chief complaints of dyspnea on exertion for one year and a low-grade fever for one month. A thorax CT revealed left-sided pleural effusion with thin internal septations. Thoracoscopy revealed a large cystic lesion arising from the mediastinum from the hilum surrounding the mediastinal great vessels. The diagnosis of lymphangioma was confirmed via histopathologic examination of the cyst. It was managed with partial cystectomy along with the use of a sclerosing agent (talc).Conclusions:The size and location of lymphangiomas can vary, with some patients presenting with serious problems like respiratory distress, while others may be asymptomatic. Complete cyst resection is the gold standard treatment for mediastinal cystic lymphangioma. Partial cyst resection along with the use of sclerosing agents can be an effective option when complete cystectomy is not possible. Although lymphangioma is a rare patient condition, it should be included in the differentials for patients presenting with pleural effusions. Also, a biopsy should be done at the earliest opportunity to differentiate lymphangioma from other mediastinal malignant tumors.

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“…The risk of tumor recurrence due to an incomplete excision ranges between 0 and 13.6%, while the aspiration of cystic fluid only decreases cyst size for a short time and introduces the patient to the risk of infection (8). Currently, there are few documented cases of giant CML (9–11). In the present study, the largest diameter of the CML was 18.0 cm and the volume removed from the cystic cavity during surgery was ~400 ml.…”

Section: Discussionmentioning

confidence: 99%

Giant primary cystic mediastinal lymphangioma: A case report

et al. 2014

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Cystic lymphangioma mainly occurs in children. Cystic mediastinal lymphangioma (CML) originates from mediastinal tissues and is an extremely uncommon cystic lymphangioma that develops from the lymphatic vessels. The present study reports the case of 46-year-old male patient with a giant CML that was surgically resected by video-assisted thoracoscopy. The largest diameter of the CML was 18.0 cm, and ~400 ml of pale yellow fluid was removed from the cystic cavity during surgery. The postoperative pathological reports on the cystic wall showed that the neoplasm was a CML. At present, at the one-year postoperative follow-up, there are no signs of recurrence. In conclusion, complete surgical resection may prevent recurrence.

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Solitary cystic mediastinal lymphangioma

Abstract: Acknowledgments:The authors would like to acknowledge M-J. Payan (Hô pital Nord, Marseilles, France) for her expert interpretation of the histopathology specimens.

Cited by 14 publications

References 13 publications

Mediastinal Cystic Lymphangioma in a Patient with Situs Inversus Totalis

Mediastinal Cystic Lymphangioma in a Patient with Situs Inversus Totalis

A 36-Year-Old Female with Recurrent Left Sided Pleural Effusion: A Rare Case of Mediastinal Lymphangioma

Giant primary cystic mediastinal lymphangioma: A case report

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