Bhutani Manoop S, Annangi Srinadh, Koduru Pramoda, Aggarwal Aakash, Suzuki Rei
Department of Gastroenterology, Hepatology and Nutrition, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Department of Medicine, Mt. Sinai Saint Luke's Hospital, New York City, New York, USA.
Endosc Ultrasound. 2016 Sep-Oct;5(5):335-338. doi: 10.4103/2303-9027.191668.
Cystic lymphangioma of the colon (CLC) is a rare benign lesion that is usually asymptomatic and found incidentally during colonoscopy. Limitations in the conventional noninvasive diagnostic techniques have led to surgical resection of these lesions for diagnostic confirmation. Classic endoscopic ultrasound (EUS) findings of colonic cystic lymphangioma are submucosal anechoic cystic spaces with septations, intact , and no solid component. Patients who are asymptomatic with lesions having classic appearance as cystic lymphangioma with EUS can be observed without any intervention. We herein report a case of cystic lymphangioma of distal transverse colon in an asymptomatic patient diagnosed noninvasively using 20-MHz miniprobe EUS and managed conservatively without any surgical intervention.
结肠囊性淋巴管瘤（CLC）是一种罕见的良性病变，通常无症状，在结肠镜检查时偶然发现。传统非侵入性诊断技术的局限性导致这些病变需通过手术切除来确诊。结肠囊性淋巴管瘤的经典内镜超声（EUS）表现为黏膜下有分隔的无回声囊性腔隙，边界完整，无实性成分。对于无症状且病变具有EUS显示的典型囊性淋巴管瘤表现的患者，可以观察而无需任何干预。我们在此报告一例无症状患者的横结肠远端囊性淋巴管瘤，该病例通过20兆赫微型探头EUS进行非侵入性诊断，并采取保守治疗，未进行任何手术干预。
