Cystic lymphangioma of the kidney: Diagnosis and management

Chaabouni, Ahmed; Rebai, N.; Fourati, M; Rekik, Sami; Chabchoub, K.; Slimen, M. Hadj; Bahloul, Ali; Mhiri, Mohamed Nabil

doi:10.1016/j.ijscr.2012.01.013

Cited by 16 publications

(29 citation statements)

References 14 publications

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“…CT features of macrocystic LMs have included a well-circumscribed lesion showing no calcifications and varied attenuation values therein ( 11 ). Macrocystic LMs may present as low-intensity signals on T1WI and high-intensity signals on T2WI but signal intensity may be variable due to varying amounts of protein and/or hemorrhage ( 12 ). Each of the two techniques was helpful for determining the extent and nature of the cysts and their correlation with the surrounding structures.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and surgical treatment of cervical macrocystic lymphatic malformations in infants

Ruan

Fan

et al. 2017

Experimental and Therapeutic Medicine

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The treatment of lymphatic malformations (LMs) represents a great clinical challenge. The present study reported on the treatment of 68 infants with cervical macrocystic LMs using surgical resection. The cases were retrospectively analyzed. All patients underwent pre-operative ultrasonography, computed tomography (CT), and magnetic resonance imaging (MRI) examinations. The surgery was performed under general anesthesia with endotracheal intubation. Ultrasonograms showed that 24 cases were monolocular, 44 were multilocular, 16 had no echo, 20 had a uniform low-level echo and 32 had a non-uniform low-level echo. CT showed non-enhancing low-attenuating cystic lesions and attenuation values of 10–45 HU. The magnetic resonance images of the LMs showed a low signal intensity on T1-weighted imaging (WI) and a high signal intensity on T2-WI. Complete resection was achieved in 56 patients, subtotal resection in eight and partial resection in four. Two complications were noted, including reversible paresis of the marginal mandibular branch of the facial nerve and a surgical-site infection. One patient in whom partial resection was achieved had recurrence at ~2 months after the surgery. Ultrasonography, CT and MRI clearly demonstrated the size, shape, extent and adjacent structures of LMs, which aided in surgical planning and assessment of potential risks. Surgical excision increased the chances of cure and was relatively safe for infants aged <1 year. Location and extent, rather than age, were determined to be the most important factors for successful surgical treatment.

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Section: Discussionmentioning

confidence: 99%

Diagnosis and surgical treatment of cervical macrocystic lymphatic malformations in infants

Ruan

Fan

et al. 2017

Experimental and Therapeutic Medicine

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“…Fluid sampling (where possible in perinephric cases) has been shown to contain either serous or chylous fluid with lymphocyte predominance [3] , [19] , [20] . Microscopy typically demonstrates endothelial lined spaces with no glomerular or tubular abnormality and positive staining for factor VIII, D2-40 antibody, CD34, and weakly for CD31, but negative staining for keratin and pancytokeratin [19] , [21] , [22] . Our patient's cell staining was positive for CD34 and CD31 but negative for pancytokeratin in keeping with previous reports.…”

Section: Discussionmentioning

confidence: 99%

Triparametric ultrasound in differentiating multicystic renal masses: a rare presentation of unilateral focal renal lymphangioma

Chua

Wolfe

Mehta

et al. 2017

Radiology Case Reports

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We describe a rare case of renal lymphangioma presenting as a focal unilateral multicystic renal mass and document the first reported use of triparametric ultrasound (B-mode, Doppler, and contrast-enhanced ultrasound) in its diagnosis and discrimination from other focal multicystic lesions. Renal lymphangiomas are rare, benign, typically developmental lesions composed of cystic dilatation of the lymphatic ducts, usually occurring bilaterally as perinephric collections or parapelvic cysts mimicking hydronephrosis. Radiologists have an important role in suggesting the diagnosis, as clinical presentation can be nonspecific. Management is usually conservative; however, nephron-sparing surgery may be recommended in symptomatic individuals.

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“…Sclerotherapy has also been reported in some cases. 5 Complete surgical excision is the mainstay for the management of intra-abdominal lymphangiomas, as incomplete resection may lead to recurrence. We completely removed the cystic mass that was present in the enteric mesentery of our patient.…”

Section: Discussionmentioning

confidence: 99%

Calcified Mesenteric Lymphangioma Mimicking a Teratoma in a 4-Year-Old Child

Bai

2016

Pediatrics & Neonatology

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Cystic lymphangioma of the kidney: Diagnosis and management

Abstract: Primary renal lymphangioma is exceedingly rare. Medical imaging has certain limits for the diagnosis which required histological confirmation. The treatment of choice is surgical.

Cited by 16 publications

References 14 publications

Diagnosis and surgical treatment of cervical macrocystic lymphatic malformations in infants

Diagnosis and surgical treatment of cervical macrocystic lymphatic malformations in infants

Triparametric ultrasound in differentiating multicystic renal masses: a rare presentation of unilateral focal renal lymphangioma

Calcified Mesenteric Lymphangioma Mimicking a Teratoma in a 4-Year-Old Child

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