Solitary Cystic Mediastinal Lymphangioma: A Rare Incidental Case in an Adult Female

  • Hira Aslam Internal Medicine, DMC Sinai-Grace Hospital, Detroit, MI, USA
  • Anam Kamal Hematology/Oncology, Ascension Providence Cancer Center, Southfield, MI, USA
  • Ali Nauman Khan Internal Medicine, DMC Sinai-Grace Hospital, Detroit, MI, USA
  • Ahmed Jamal Chaudhary Internal Medicine, DMC Sinai-Grace Hospital, Detroit, MI, USA
  • Rana Ismail Internal Medicine, DMC Sinai-Grace Hospital, Detroit, MI, USA
DOI: https://doi.org/10.12890/2022_003295

Keywords

Lymphangioma, mediastinal mass, lymphatic system

Abstract

Introduction: Lymphangiomas are rare, congenital malformations arising from lymphatic hyperplasia. More than 90% of cases are found in children under 2 years of age. Cystic lymphangiomas usually occur in the neck and axillary region and only rarely extend to the mediastinum.

Case Description: We present the case of a middle-aged woman who presented with dyspnoea and productive cough. A chest x-ray showed right lower medial lung opacity, and a CT scan of the thorax showed a cystic mediastinal mass, encroaching on the superior vena cava and approaching the trachea and mainstem bronchus. An anterior thoracotomy with tumour resection was performed to relieve compression symptoms. The final pathology report confirmed the diagnosis of mediastinal lymphangioma.

Discussion: Lymphangioma should be considered as one of the differential diagnoses when mediastinal widening is found on chest x-ray, and it should be investigated further with a CT scan and biopsy. Infiltration of surrounding structures can cause compression symptoms and can also make surgical resection more challenging.

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References

  • Nasser M, Ahmad K, Cottin V. Mediastinal lymphangioma in an adult. J Thorac Cardiovasc Surg 2018;155:e195–197.
  • Brown LR, Reiman HM, Rosenow III EC, Gloviczki PM, Divertie MB. Intrathoracic lymphangioma. Mayo Clin Proc 1986;61:882–892.
  • Saleiro S, Magalhaes A, Moura CS, Hespanhol V. Cystic mediastinal lymphangioma. Rev Port Pneumol 2006;12(6):731–735.
  • Yildirim E, Dural K, Kaplan T, Sakinci U. Cystic lymphangioma: report of two atypical cases. Interact Cardiovasc Thorac Surg 2004 Mar;3(1):63–65. doi: 10.1016/S1569-9293(03)00225-1. PMID: 17670177.
  • Bossert T, Gummert JF, Mohr FW. Giant cystic lymphangioma of the mediastinum. Eur J Cardiothorac Surg 2002;21:340.

    • Published: 2022-09-19

    Issue: 2022: Vol 9 No 9 (view)

    Section: Articles

    How to cite:
    1.
    Aslam H, Kamal A, Khan AN, Chaudhary AJ, Ismail R. Solitary Cystic Mediastinal Lymphangioma: A Rare Incidental Case in an Adult Female. EJCRIM 2022;9 doi:10.12890/2022_003295.

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