Al-Shaikh Safa A, Mubarak Aalaa M, Harb Zainab F
Department of Pathology, Salmaniya Medical Complex, Ministry of Health, Manama, Bahrain, E-mail.
Saudi Med J. 2017 Nov;38(11):1148-1152. doi: 10.15537/smj.2017.11.20625.
Splenic lymphangiomas are exceedingly rare benign neoplasms that occur mainly in children. They are commonly seen in the neck and axillary region. Abdominal lymphangiomas accounts for less than 5% of cases. So far, fewer than 100 cases of spleen lymphangiomas have been reported in the literature. In this paper, we present one case of solitary splenic lymphangioma in a 34-year-old woman who presented with abdominal pain and weight loss for one month. The patient underwent splenectomy and diagnosis was confirmed by histopathology and immunohistochemistry studies. There was no clinical or radiological evidence of diffuse lymphangiomatosis syndrome. This case indicates that splenic lymphangiomas should be considered in the differential diagnosis of splenic cystic masses, even in adults, and should be managed with splenectomy once diagnosed to prevent complications.
脾淋巴管瘤是极其罕见的良性肿瘤,主要发生于儿童。常见于颈部和腋窝区域。腹部淋巴管瘤占病例的不到5%。迄今为止,文献报道的脾淋巴管瘤病例少于100例。本文报告一例34岁女性的孤立性脾淋巴管瘤,该患者出现腹痛和体重减轻1个月。患者接受了脾切除术,组织病理学和免疫组织化学研究证实了诊断。没有弥漫性淋巴管瘤病综合征的临床或影像学证据。该病例表明,即使在成人中,脾囊性肿块的鉴别诊断也应考虑脾淋巴管瘤,一旦确诊应行脾切除术以预防并发症。