Hong In Taik, Cha Jae Myung, Lee Joung Il, Joo Kwang Ro, Baek Il Hyun, Shin Hyun Phil, Jeon Jung Won, Lim Jun Uk
Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea.
Korean J Gastroenterol. 2015 Sep;66(3):172-5. doi: 10.4166/kjg.2015.66.3.172.
Lymphangioma is a benign vascular lesion with characteristics of subepithelial tumor which can proliferate in the lymphatic system. Lymphangioma of the small-bowel mesentery is rare, having been reported in less than 2% of all lymphangiomas. Lymphangioma does not require any specific treatment because it is absolutely a benign tumor. However, surgical exploration is rarely required for cases with disease-related symptoms or complications, or for those misdiagnosed as a malignant lesion. We recently experienced a case of mesenteric cavernous lymphangomas in a 53-year-old female who was misdiagnosed as having a liposarcoma. The final diagnosis was confirmed by a pathologic examination of the specimen that was obtained via laparoscopic exploration. Herein, we report a very rare case of mesenteric cavernous lymphangioma along with a brief review of relevant literature.
淋巴管瘤是一种良性血管病变，具有上皮下肿瘤的特征，可在淋巴系统中增殖。小肠系膜淋巴管瘤罕见，在所有淋巴管瘤中报告的病例不到2%。淋巴管瘤不需要任何特殊治疗，因为它绝对是良性肿瘤。然而，对于有疾病相关症状或并发症的病例，或那些被误诊为恶性病变的病例，很少需要进行手术探查。我们最近遇到一例53岁女性的肠系膜海绵状淋巴管瘤，该患者被误诊为脂肪肉瘤。最终诊断通过腹腔镜探查获取的标本病理检查得以证实。在此，我们报告一例非常罕见的肠系膜海绵状淋巴管瘤病例，并对相关文献进行简要回顾。
