[CASE REPORT: COMPLETE RESECTION OF RETROPERITONEAL CYSTIC LYMPHANGIOMA AND SURROUNDING ORGANS].

Q4 Medicine

Japanese Journal of Urology Pub Date : 2019-01-01 DOI:10.5980/jpnjurol.110.52

Kojiro Morita, Kaoru Nemoto, Hiroya Hasegawa, Ryo Matsuoka, Hiroki Nakamori, Hiroyoshi Kono, Kuniaki Tanabe, Masato Yanagi, Yasutomo Suzuki, Yukihiro Kondo

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Abstract

A 65-year-old man was admitted to our institution with vomiting and right flank pain. Computed tomography (CT) imaging showed a 21-cm retroperitoneal multilocular cystic tumor which had been identified four years previously. It had increased from 17 to 21 cm. The initial diagnosis was cystic lymphangioma because it was a clear cystic tumor without a boundary or a solid component in the first CT, but later CT revealed an unclear boundary with surrounding organs suggesting malignancy. We decided to resect the tumor because it was symptomatic and might be malignant. The tumor was then resected along with surrounding organs because invasion was suspected. Pathological findings indicated a diagnosis of cystic lymphangioma with chronic inflammation and confirmed complete resection of the tumor. The patient has remained free of recurrence at one year after surgery. This experience indicates that cystic lymphangioma should be completely resected to prevent recurrence.

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【病例报告:腹膜后囊性淋巴管瘤及周围脏器全切除术】。

一名65岁男性因呕吐和右侧疼痛入院。计算机断层扫描(CT)显示一个21厘米的腹膜后多室囊性肿瘤，发现于4年前。它从17厘米增加到21厘米。最初诊断为囊性淋巴管瘤，因为在第一次CT上是一个清晰的囊性肿瘤，无边界，无实性成分，但后来CT显示与周围器官边界不清，提示恶性。我们决定切除肿瘤，因为它有症状，可能是恶性的。由于怀疑肿瘤受到侵袭，我们切除了肿瘤和周围的器官。病理结果显示诊断为囊性淋巴管瘤伴慢性炎症，并确认肿瘤完全切除。手术后1年患者无复发。这一经验提示囊性淋巴管瘤应完全切除以防止复发。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Japanese Journal of Urology Medicine-Urology

CiteScore

0.20

自引率

0.00%

发文量