Luncă S, Romedea N S, Roată C, Bouras G
Spitalul Clinic de Urgenţe Iaşi, Universitatea de Medicină şi Farmacie Gr. T. Popa Iaşi.
Chirurgia (Bucur). 2004 Jul-Aug;99(4):255-8.
Cystic lymphangioma of the adrenal gland is a rare tumor, which is often sub-clinical. Preoperative diagnosis is difficult. We present a case of a 47 year-old female in whom an incidental left cystic mass of 12 cm by 10 cm with no features of malignancy was discovered by ultrasound scan. A further computed tomography scan confirmed the ultrasound findings. Biochemical screening ruled out a secreting adrenal tumor. Because of the size of the cyst, the lesion was resected and the diagnosis of benign adrenal cystic lymphangioma was histologically confirmed. Computed tomography is the reference examination for delineating the topography and extent of the lesion, especially when it is large. Although imaging can characterize the cystic nature of a lesion, it sometimes fails to establish a specific diagnosis, so surgery or fine needle aspiration should be done for a definitive diagnosis. The characteristic features of cystic adrenal lymphangioma are discussed together with a review of the recent literature.
肾上腺囊性淋巴管瘤是一种罕见肿瘤，通常无临床症状。术前诊断困难。我们报告一例47岁女性患者，超声检查偶然发现左肾上腺有一个12厘米×10厘米的囊性肿块，无恶性特征。进一步的计算机断层扫描证实了超声检查结果。生化筛查排除了分泌性肾上腺肿瘤。由于囊肿大小，该病变被切除，组织学检查确诊为良性肾上腺囊性淋巴管瘤。计算机断层扫描是描绘病变形态和范围的参考检查，尤其是当病变较大时。虽然影像学检查可以确定病变的囊性性质，但有时无法做出明确诊断，因此应进行手术或细针穿刺以明确诊断。本文讨论了肾上腺囊性淋巴管瘤的特征，并对近期文献进行了综述。
