Michalopoulos Nick, Laskou Styliani, Karayannopoulou Georgia, Pavlidis Leonidas, Kanellos Ioannis
3rd Department of Surgery, Aristotle University of Thessaloniki, AHEPA University Hospital, 56 Papanastasiou Str, Thessaloniki, 54642 Greece.
Pathology Department, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, Greece.
Indian J Surg. 2015 Dec;77(Suppl 3):1334-42. doi: 10.1007/s12262-015-1206-y. Epub 2015 Jan 23.
Lymphangiomas of the adrenal glands (ALs) are benign vascular lesions. Approximately, 53 cases have been reported in the literature. The current study reviews and analyzes the clinical and pathologic features of all reported ALs and additionally illustrates a typical case of adrenal lymphangioma (AL). In order to perform the review analysis, a search of the international literature for ALs in adults was conducted. Thirty-eight related articles were found. Clinical and pathological information were obtained for all the reported cases and a database was created. ALs were detected more frequently in women than men. The mean age of occurrence was 39.5 years, while their mean size was 8.86 cm. Fifty-nine percent of ALs were right-sided. Size and localization were responsible for the presenting symptoms, though 30.4 % were asymptomatic. Diagnosis was made postoperatively in all cases by histological results. ALs are rare and benign lesions. They usually present as an incidental finding after abdominal imaging. The diagnosis is made after the surgical removal by histological and immunohistochemical examinations.
肾上腺淋巴管瘤(ALs)是良性血管病变。文献中大约报道了53例。本研究回顾并分析了所有已报道的肾上腺淋巴管瘤的临床和病理特征,并额外展示了一例典型的肾上腺淋巴管瘤(AL)病例。为进行回顾性分析,检索了国际文献中关于成人肾上腺淋巴管瘤的研究。共找到38篇相关文章。获取了所有报道病例的临床和病理信息并建立了数据库。肾上腺淋巴管瘤在女性中的检出率高于男性。发病的平均年龄为39.5岁,平均大小为8.86厘米。59%的肾上腺淋巴管瘤位于右侧。大小和位置决定了临床表现,不过30.4%的病例无症状。所有病例均通过术后组织学结果确诊。肾上腺淋巴管瘤是罕见的良性病变。它们通常在腹部影像学检查后偶然发现。诊断通过手术切除后的组织学和免疫组化检查来确定。