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KMID : 1100320150320020155
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Yeungnam University Journal of Medicine
2015 Volume.32 No. 2 p.155 ~ p.158
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A late onset solitary mediastinal cystic lymphangioma in a 66-year-old woman who underwent kidney transplantation
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Lee Jung-Mo
Lee Sang-Hoon
Park Young-Mok
Kim Chi-Young
Goag Eun-Kyoung
Lee Eun-Hye
Park Ji-Eun
Lee Chang-Young
Kim Se-Kyu
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Abstract
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Lymphangioma is a congenital abnormality of the lymphatic system detected primarily in early childhood. There are rare reports of mediastinal lymphangioma in older adults. We hereby report on a 66-year-old female patient who underwent kidney transplantation 20 years previously and who developed pathologically confirmed solitary mediastinal lymphangioma 1 year ago. Chest radiography showed a mediastinal nodule, which was not observed 2 year previously, therefore she was referred to the pulmonary division. She had no symptoms, and chest computed tomography demonstrated a 25-mm, well-defined, low-density nodule located at the anterior mediastinum. The size of the nodule had increased from 25 mm to 34 mm 1 year later, and it was completely resected via video-assisted thoracic surgery. The histological diagnosis was cystic lymphangioma. Therefore, we recommend that clinicians consider cystic lymphangioma as a possible diagnosis even in older patients with a mediastinal cystic mass that shows progressive enlargement.
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KEYWORD
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Cystic lymphangioma, Mediastinum, Video-assisted thoracic surgery
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