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A pathologic study of abdominal lymphangiomas.

J H Chung¹, Y L Suh, I A Park

¹Department of Pathology, Seoul National University, College of Medicine, Korea.

Journal of Korean Medical Science

|July 13, 1999

Summary

Abdominal lymphangiomas, rare tumors, can occur in adults and children. Awareness of this possibility aids in correct preoperative diagnosis, with low recurrence rates observed post-treatment.

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Area of Science:

Oncology
Pathology
Pediatrics

Background:

Abdominal lymphangiomas are rare angiomatous tumors, predominantly affecting children.
Intra-abdominal lymphangiomas present a diagnostic challenge, particularly in adult patients.

Purpose of the Study:

To conduct a clinicopathologic analysis of abdominal lymphangiomas.
To evaluate the clinical presentation, histopathology, and outcomes of abdominal lymphangiomas in both children and adults.

Main Methods:

Retrospective review of 17 abdominal lymphangioma cases.
Analysis of patient demographics, tumor location, growth patterns, cyst characteristics, and immunohistochemical findings (CD31, factor VIII-related antigen).
Follow-up data assessment for recurrence.

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Main Results:

The study included 5 children and 12 adults (mean age 30.7 years).
Common locations included the mesentery, retroperitoneum, and colon; infiltrative growth was frequent.
Immunohistochemistry supported lymphatic origin; only one recurrence was noted in 12 follow-up cases.

Conclusions:

Abdominal lymphangiomas, though uncommon in adults, require consideration for accurate preoperative diagnosis.
These tumors exhibit immunohistochemical features consistent with collecting lymphatics.
Low recurrence rates suggest favorable outcomes after appropriate management.