Lymphangioma of the esophagus

Saers, Thomas; Parusel, M.; Brockmann, Michael; Krakamp, B

doi:10.1016/s0016-5107(04)02844-5

Cited by 15 publications

(9 citation statements)

References 24 publications

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“…The presence of symptoms related to the tumour and a significant increase in size or change in configuration of the tumour without a definitive diagnosis of lymphangioma are indications for resection 19 23. None of these features was present in our case, so a conservative strategy was adopted.…”

Section: Discussionmentioning

confidence: 70%

“…Differential diagnosis from other gastrointestinal mesenchymal tumours is mandatory, as some gastrointestinal soft tissue tumours can undergo malignant degeneration 13 19…”

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%

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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.

show abstract

Section: Discussionmentioning

confidence: 70%

“…Differential diagnosis from other gastrointestinal mesenchymal tumours is mandatory, as some gastrointestinal soft tissue tumours can undergo malignant degeneration 13 19…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Oesophageal lymphangioma: an exceedingly rare tumour

Barbosa¹,

Moutinho-Ribeiro

Cotter

2015

BMJ Case Reports

View full text Add to dashboard Cite

show abstract

“…Definitive diagnosis can be made by biopsy when thin-walled, dilated lymphatic vessels of different sizes are demonstrated. However, appropriate sampling may not be possible since normal surface epithelium usually covers the tumor [7,9]. Furthermore, biopsy is contraindicated when the lesion resembles esophageal varices [10].…”

Section: Discussionmentioning

confidence: 99%

“…Treatment should be considered when a tumor increases in size or changes in shape in patients without definitive histological diagnosis of lymphangioma, or in patients who have symptoms due to these tumors. There have been eight case reports of endoscopic treatment [snarepolypectomy and endoscopic mucosal resection (EMR)] of these lesions (Table 1) [4,6,8,9,[11][12][13][14][15][16][17][18][19][20][21][22]. If the tumor is small, it can be resected by EMR [8].…”

Section: Discussionmentioning

confidence: 99%