Abstract:Abstract. The identification of cystic lesions within the retroperitoneal space is a rare event that poses clinicians the challenge of a difficult diagnosis and disease management. Retroperitoneal cystic lesions account for a group of lesions that range from common benign lesions (e.g., lymphoceles developing as a surgical complication) to rare aggressive malignant neoplasms. Currently, in the majority of cases, image-guided procedures allow for a pathological diagnosis to be achieved in these challenging lesi… Show more
“…Diagnosis and approach to management of cystic retroperitoneal lesions can be highly challenging and pre- operative diagnosis complex. 6 Rare presentation of retroperitoneal lymphangioma in adults may make radiological diagnosis even more challenging. Ultrasonography, CT, MRI and laparoscopy are useful in diagnosis although the definitive diagnosis requires histology and an immunohistochemistry.…”
Section: Discussionmentioning
confidence: 99%
“…The MRI finding is that of well-defined round or oval uniformly dense cystic masses with long signal intensity on T 1 and T 2 weighted images. 6 The ability of MRI to provide images in multiple planes with no loss of resolution may demonstrate additional lesions and further delineate the boundaries of the cysts. 11 MRI allows a detailed assessment of the lesions morphology and structure, shows vessel-like internal septa, wall thickness and fluid content better.…”
Cystic lymphangiomas are rare benign tumors. Most are diagnosed in childhood and
their presentation in adults is rare. Retroperitoneal cystic lymphangiomas
constitute only 1% of lymphangiomas. Unfortunately the differentiation
between cystic lymphangiomas and other cystic tumors is often not possible and
surgery with histology is essential for confirmation of diagnosis. A 20-year-old
lady with retroperitoneal cystic lymphangioma presented with acute abdomen. In
the diagnosis of this patient, abdominal Ultrasound, CT and MRI scans were
obtained.
“…Diagnosis and approach to management of cystic retroperitoneal lesions can be highly challenging and pre- operative diagnosis complex. 6 Rare presentation of retroperitoneal lymphangioma in adults may make radiological diagnosis even more challenging. Ultrasonography, CT, MRI and laparoscopy are useful in diagnosis although the definitive diagnosis requires histology and an immunohistochemistry.…”
Section: Discussionmentioning
confidence: 99%
“…The MRI finding is that of well-defined round or oval uniformly dense cystic masses with long signal intensity on T 1 and T 2 weighted images. 6 The ability of MRI to provide images in multiple planes with no loss of resolution may demonstrate additional lesions and further delineate the boundaries of the cysts. 11 MRI allows a detailed assessment of the lesions morphology and structure, shows vessel-like internal septa, wall thickness and fluid content better.…”
Cystic lymphangiomas are rare benign tumors. Most are diagnosed in childhood and
their presentation in adults is rare. Retroperitoneal cystic lymphangiomas
constitute only 1% of lymphangiomas. Unfortunately the differentiation
between cystic lymphangiomas and other cystic tumors is often not possible and
surgery with histology is essential for confirmation of diagnosis. A 20-year-old
lady with retroperitoneal cystic lymphangioma presented with acute abdomen. In
the diagnosis of this patient, abdominal Ultrasound, CT and MRI scans were
obtained.
“…Preoperative biopsy or fine‐needle aspiration may assist in clinching the diagnosis in some cases but the procedure itself is not risk‐free. With the currently available diagnostic modalities, it is difficult to differentiate between the benign and the malignant masses . Lack of proven diagnostic algorithms has made the diagnostic approach to such lesions an arduous task.…”
Section: Differential Diagnosis Of Retroperitoneal Cystic Massmentioning
confidence: 99%
“…With the currently available diagnostic modalities, it is difficult to differentiate between the benign and the malignant masses. 3 Lack of proven diagnostic algorithms has made the diagnostic approach to such lesions an arduous task. In the present case, the patient was operated with a preoperative diagnosis of cystic teratoma, only to be diagnosed as hydatid cyst intraoperatively.…”
“…Primarni retroperitonealni mucinozni cistadenom može se javiti i kod žena koje imaju potpuno zdrave jajnike (29) skoro 80% retroperitonealnih tumora pokazuje maligne karakteristike, za sada još ne postoje jasne dijagnostičke smernice za PrMC (30). u zavisnosti od toga kojoj vrsti tumora pripada (primarni retroperitonealni mucinozni cistadenom, primarni retroperitonealni cistadenom sa graničnim malignitetom i PrM cistadenoakrcinom) savetuje se i dalje lečenje nakon totalne enukleacije.…”
Prikaz sluČaja sAŽetAK Cilj. Neophodna je blagovremena dijagnostika, dobra preoperativna priprema radi sprečavanja mogućih komplikacija od samog tumora (infekcija, ruptura, opstrukcije susednih organa zbog pritiska ili maligna alteracija).
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