|Table of Contents|

Analysis of clinical characteristics of adrenal lymphangioma

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2023 02
Page:
319-322
Research Field:
Publishing date:

Info

Title:
Analysis of clinical characteristics of adrenal lymphangioma
Author(s):
ZHANG Tao; FENG Wenbo; YIN Sifan; YE Meng; ZHANG Kaineng; KE Changxing
Department of Urology,the Second Affiliated Hospital of Kunming Medical University,Yunnan Kunming 650101,China.
Keywords:
adrenal gland; lymphangioma; diagnosis
PACS:
R737.11
DOI:
10.3969/j.issn.1672-4992.2023.02.023
Abstract:
Objective:To explore the clinical characteristics of adrenal lymphangioma and to improve the understanding of the disease.Methods:The clinical data of patients with adrenal lymphangioma confirmed by pathology from May 2015 to May 2021 in our hospital were retrospectively analysed.Results:There were 11 cases in this group (4 cases on the left side and 7 cases on the right side),including 3 males and 8 females.The age range of the patients was 22~54 years old,with a median age of 39 years old.The physical examination revealed 7 cases of adrenal gland occupying,2 cases with elevated blood pressure,1 case of adrenal gland occupying on admission due to hydronephrosis,and 1 case of intermittent facial flushing with diarrhea.Ultrasound showed that the lesion was an anechoic mass.CT plain scan showed that the lesion was showed hypodensity with clear boundaries,and some septum and calcification were visible,and there was no enhancement or margin and septum were mild enhancement.The lesion demonstrated hypointense on T1WI,and hyperintense on T2WI.There was no enhancement or mild enhancement of the cyst wall and septum can be seen on the enhanced scan.All patients underwent surgical treatment,and postoperative pathology was diagnosed as lymphangioma.The texture was soft.The color was gray-yellow.The diameter ranged from 0.1 to 7.0 cm.It was seen under the microscope that the lesion was composed of many expanded lymphatic vessels,and the lumen was covered with flat endothelial cells without obvious mitotic count.Immunohistochemical staining showed that CD31 positive rate was 100%(8/8).CD34 positive rate was 88.9%(8/9).D2-40 positive rate was 75.0%(6/8).Conclusion:Lymphangioma is a rare disease of the lymphatic system.When it is located in the adrenal gland,it tends to occur on the right side,and it is mainly female.The clinical manifestations are non-specific.Most of them are accidental.The imaging findings have certain characteristics,but the diagnosis is finally confirmed by pathology and immunohistochemistry.The individualized treatment is recommended.

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