Huge Lymphangiomatosis of the Esophagus

Xue, Liang; Guo, Wei; Hou, Jun; Chen, Xiao Jing

doi:10.1016/j.athoracsur.2011.11.021

Cited by 6 publications

(9 citation statements)

References 5 publications

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“…These tumours are usually small, with almost half of those reported under 2 cm in diameter, as in the current case; however, two large lesions (10×2.5×1 and 6×5×4 cm) were recently described by Xue et al 25. Oesophageal lymphangiomas are almost always located in the distal portion of the oesophagus.…”

Section: Discussionsupporting

confidence: 47%

“…Oesophageal lymphangiomas are almost always located in the distal portion of the oesophagus. Although solitary lesions are the most common by far, there have been three reports of oesophageal lymphangiomatosis 17 20 25…”

Section: Discussionmentioning

confidence: 99%

“…Oesophageal lymphangiomas are characterised by thin-walled, dilated lymphatic channels lined by flattened endothelium, which can be empty or filled with chylous or serous fluid,25 and which may contain lymphocytes and, occasionally, erythrocytes 19. Additionally, these tumours are frequently surrounded by lymphocytic aggregates 26.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical treatment is necessary when the tumour is larger and symptomatic, or when malignancy is suspected 4. Intraoperative endoscopy can be used to locate small lesions 25. Other modalities, such as CO 2 laser excision and interferon α2a plus partial endoscopic resection (snare polypectomy), have been used in the treatment of oesophageal lymphangiomatosis.…”

Section: Discussionmentioning

confidence: 99%

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Oesophageal lymphangioma: an exceedingly rare tumour

Barbosa¹,

Moutinho-Ribeiro

Cotter

2015

BMJ Case Reports

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An asymptomatic 57-year-old man was referred for evaluation of a 10 mm pale pink subepithelial polypoid lesion of the distal oesophagus; the lesion was found incidentally during an upper gastrointestinal endoscopy. The endoscopic ultrasound (EUS) revealed a heterogeneous, although primarily hypoechogenic, well-circumscribed lesion, located in the submucosa. Owing to the absence of endosonographic features, which would have allowed for a precise diagnosis, EUS-guided fine-needle aspiration was performed; however, the cytology was inconclusive because of the lack of cellular representation. We chose to remove it by cap-assisted endoscopic mucosal resection. However, due to its shape and deep location, complete removal was not achieved. A macrobiopsy was taken, and histological examination, of all oesophageal layers except the adventitia, revealed many irregularly dilated lymphatic vessels, beneath normal squamous epithelium. These findings are consistent with the diagnosis of lymphangioma. A follow-up EUS did not reveal any changes. The patient is currently asymptomatic and is under surveillance.

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Section: Discussionsupporting

confidence: 47%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Oesophageal lymphangioma: an exceedingly rare tumour

Barbosa¹,

Moutinho-Ribeiro

Cotter

2015

BMJ Case Reports

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“…The GI tract may be affected, but the incidence of lymphangioma of the intestinal wall is very low, and it is even rarer in the small bowel (less than 1%) [ 9 , 10 ]. To the best of our knowledge, all cases reported in the literature with GI tract involvement are summarized in Table 1 [ 1 , 2 , 7 , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] ].…”

Section: Discussionmentioning

confidence: 99%

Lymphangiomatosis of the ileum with perforation: A case report and review of the literature

Giuliani

Romano

Coletti

et al. 2019

Annals of Medicine and Surgery

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Lymphangiomatosis is a benign proliferation of lymph vessels. Lymphatic diseases can vary from small lymphangioma to generalized lymphangiomatosis, which is a rare condition and can have several clinical manifestations. The gastrointestinal tract may be affected, but the incidence in the intestinal wall is very low. We propose in our study a case of ileal lymphangiomatosis presenting with perforation, in which the diagnosis was made after the pathological analysis of the resected intestinal tract. Although rare and not described in the literature, intestinal lymphangiomatosis could manifest itself with acute abdomen and could be a surgical urgency. This disease should be considered when intestinal perforation is observed.

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