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KMID : 0371320090770060434
Journal of the Korean Surgical Society
2009 Volume.77 No. 6 p.434 ~ p.437
Splenic Cavernous Lymphangioma Mimicking Splenic Hemangioma
Kim Ho-Hyun

Hur Young-Hoe
Park Chan-Yong
Koh Yang-Seok
Kim Jung-Chul
Cho Chol-Kyoon
Kim Hyun-Jong
Abstract
Lymphangioma of the spleen is a rare benign neoplasm with clinical manifestations ranging from insignificant incidental findings to large, symptomatic cystic masses requiring surgical intervention. We report a case of splenic cavernous lymphangioma mimicking splenic hemangioma. A 59-year-old woman presented with left upper quadrant pain and epigastric discomfort. Computed tomography showed a 9.5¡¿8 cm high attenuated mass with relatively homogenous enhancement in the spleen. The initial impression was a splenic hemangioma. The patient underwent splenectomy. Gross pathologic examination revealed a 9.5¡¿6.8¡¿9 cm-sized fairly well circumscribed soft mass. Histologically, the tumor was composed of dilated lymphatic vessels, which contained homogenous eosinophilic material. The Final diagnosis was cavernous lymphangioma of the spleen. Herein, we report a case of splenic cavernous lymphangioma mimicking splenic hemangioma and also review the existing literature.
KEYWORD
Cavernous lymphangioma, Spleen, Hemangioma
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