Successful Excision of an Isolated Mediastinal Cystic Lymphangioma with Bilateral Thoracoscopic Surgery

Kanzaki, Masato; Kikkawa, Takuma; Obara, Tetsuya; Onuki, Takamasa

doi:10.5761/atcs.cr.10.01542

Cited by 11 publications

(9 citation statements)

References 10 publications

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“…3 Nonspecific symptoms related to compression by the lesion on surrounding areas may develop; however, small lesions may remain asymptomatic for many years. 4,5 Cystic lymphangiomas are rarely seen in adults. It is not known why this congenital malformation remains silent for a long time and then progresses.…”

Section: Discussionmentioning

confidence: 99%

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Rapidly growing cystic hygroma in an adult patient

Doğruyol

Tözüm

Eren

2017

Asian Cardiovasc Thorac Ann

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Cystic hygroma is a benign tumor of lymphatic tissue. It usually develops before the second year of life and is rarely seen in adults. A 26-year-old woman was referred to our clinic with a swelling in the left supraclavicular region, which had appeared 5 months earlier and grown rapidly. Ultrasonography, computed tomography, and magnetic resonance imaging showed a 7-cm cystic lesion in the neighborhood of the carotid artery and jugular vein medially and the supraclavicular region inferiorly The lesion was dissected completely from the surrounding tissue. The patient had no complications and was discharged on postoperative day one.

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Section: Discussionmentioning

confidence: 99%

“…One case of mediastinal cystic lymphangioma was reported to be treated by total excision via a bilateral thoracoscopic intervention. 5 Obtaining clear surgical borders is essential to prevent recurrence; a recurrence rate of 20% has been reported. 3…”

Section: Discussionmentioning

confidence: 99%

Rapidly growing cystic hygroma in an adult patient

Doğruyol

Tözüm

Eren

2017

Asian Cardiovasc Thorac Ann

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“…The most common location is the neck region (75%), especially in the posterior triangle and in the back cervical cavity, but it can be also found in the axillary region (20%) and infrequently in the retroperitoneum, mesentery, omentum, colon, pelvis, groin, bone, skin, scrotum, and spleen;[ 8 ] Only 1% of cystic lymphangiomas have mediastinal localization and the most frequent locations are the anterior and upper mediastinum (50-60%), while the middle and posterior mediastinum occur more rarely (20%). In literature, they are described cases of cystic lymphangioma of the mediastinum localized in the right paratracheal, paracardiac,[ 9 ] anterior,[ 10 ] and posterior mediastinal[ 11 12 13 14 ] regions.…”

Section: Discussionmentioning

confidence: 99%

Dumbbell-shaped lymphangioma of neck and thorax

Kumar

et al. 2014

Natl J Maxillofac Surg

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Vascular malformations consist of a spectrum of lesions involving all parts of the body. They have different terminologies like vascular tumors, vascular malformations, vascular anomalies, and so on, which create a lot of confusion in understanding and treating these pathologies. Of late, classification on the basis of cellular kinetics and clinical behavior has been devised. Hemangioma is the most common vascular tumor. Vascular malformations are of either lymphatic or capillary and venous origin. Sometimes they are of a mixed origin. Lymphangiomas are common in the face and neck area. They are also not unusual in the mediastinum. We present a case where a huge lymphangioma occupied the right supraclavicular area of the neck, extending to nearly the entire right thoracic cavity, compressing the whole lung. The patient had occasional symptoms of cough. Ultrasonography (US) and computed tomography (CT) images clearly described the lesion as cystic, occupying both the supraclavicular and thoracic cavity compressing the lung parenchyma. Surgical excision was planned and we approached the lesion via both cervical and thoracotomy incisions. Complete excision was done, and the lung expended fully after the surgery.

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“…No obvious symptoms are found in patients with mediastinal cystic lymphangioma, so imaging examinations are the main methods to identify the lesion. However, definitive histological diagnosis is difficult to achieve before surgery (2). Malignant transformation of cystic lymphangioma has not been reported, but complete surgical resection is generally recommended.…”

Section: Introductionmentioning

confidence: 99%

Thoracoscopic resection of a huge mediastinal cystic lymphangioma

Zhou

Zhong

et al. 2017

J. Thorac. Dis.

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Mediastinal cystic lymphangioma is an extremely uncommon benign tumor. The patients with mediastinal cystic lymphangioma are often misdiagnosed because of no specific symptoms. The cysts usually are incidentally found and preoperative diagnosis is difficult due to their atypical appearance on imaging studies. Most cases are diagnosed during or after the operation. Moreover, the standard surgical approach for resection has not yet been well established. We report a case of an adult patient with a giant mediastinal cystic lymphangioma that was successfully resected by video-assisted thoracoscopic surgery (VATS). This case report shows that resection by VATS is feasible when mediastinal cystic tumor is suspected, even if they are huge, and that VATS may be an alternative to open thoracotomy to treat mediastinal cystic lymphangioma.

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Successful Excision of an Isolated Mediastinal Cystic Lymphangioma with Bilateral Thoracoscopic Surgery

Cited by 11 publications

References 10 publications

Rapidly growing cystic hygroma in an adult patient

Rapidly growing cystic hygroma in an adult patient

Dumbbell-shaped lymphangioma of neck and thorax

Thoracoscopic resection of a huge mediastinal cystic lymphangioma

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