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. 2019 Dec 24;7(1):001323.
doi: 10.12890/2019_001323. eCollection 2020.

Giant Cystic Mediastinal Lymphangioma

Ana Catarina Dionísio  1 , Ricardo Gomes  1 , Eduardo Cernadas  1 , Isabel Caballero  1 , José Proença  1 , Didia Lages  1 , Leopoldina Vicente  1
Affiliations

Giant Cystic Mediastinal Lymphangioma

Ana Catarina Dionísio et al. Eur J Case Rep Intern Med. .

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.

Learning points: Cystic lymphangioma corresponds to approximately 0.7 to 4% of all mediastinal tumours.They are usually asymptomatic and, in adults, the diagnosis is accidental.After an imaging study with computed tomography and nuclear magnetic resonance, patients are usually candidates for surgical excision.

Keywords: Cystic lymphangioma; mediastinal tumour; surgical approach.

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Conflict of interest statement

Conflicts of Interests: The Authors declare that there are no competing interest

Figures

Figure 1
Figure 1
Enlargement of the medial mediastinum in the thoracic X-ray
Figure 2
Figure 2
Thoracic CT scan with a voluminous formation of liquid in the mediastinum and the subcarinal region
Figure 3
Figure 3
Thoracic CT scan with a voluminous formation of liquid in the mediastinum and the subcarinal region
See this image and copyright information in PMC

References

    1. Saleiro S, Magalhães A, Moura CS, Hespanhol V. Cystic mediastinal lymphangioma. Rev Port Pneumol. 2006;12(6):731–735. - PubMed
    1. Park JG, Aubry MC, Godfrey JA, Midthun DE. Mediastinal lymphangioma: Mayo Clinic experience of 25 cases. Mayo Clin Proc. 2006;81(9):1197–1203. - PubMed
    1. 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. - PMC - PubMed
    1. 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. - PubMed
    1. 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. - PubMed

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