Giant cystic lymphangioma of adrenal gland
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Cystic Lymphangiomas are benign malformations of lymphatic vessels. Location of this pathology can be diverse but most commonly occurs in the neck or axilla. The present case has been published in the journal Urology Case Reports.

A 78-year-old woman with a past medical history of systemic hypertensive disease for 5 years presented to the hospital with constant lower back pain during the last year. On examination, the patient showed no abnormality. A CT scan revealed 12*10*9 cm hypodense non-enhancing lesion on the upper pole o f the left kidney, which was suspected to be an adrenal cyst.

The patient with adrenal masses were evaluated and screened for hyperaldosteronism, pheochromocytoma, and hypercortiolism. Laboratory data showed no appreciable abnormality of biochemical test. Due to the size and position of the cyst, and to avoid a rupture of the cyst during laparoscopy, a left subcostal laparotomy was performed.

During surgery, the adrenal origin of the cyst was confirmed, and a left adrenalectomy was performed without rupture of the cyst. The postoperative course was uneventful. On pathologic examination the adrenalectomy specimen measured 6×2.5× 8.5 cm.

The cyst was filled with clear, non viscous, brown colored fluid. Microscopic examination revealed a multi-cystic lesion laid with flat endothelial cells. Immunohistochemical examination revealed an endothelial lining positive for factor VIII-related antigen and CD34.

No significant endothelial atypia was noted. The diagnosis of adrenal lymphangioma was made. One year after surgery, the patient remains free of symptoms.

Read in detail here: