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[A case of mediastinal cystic lymphangioma with bloody fluid]
1Department of Respiratory Surgery, Oota-Nishinouchi Hospital, Koriyama, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|August 1, 1997
Insights
A mediastinal cyst in a 53-year-old woman was diagnosed as a cystic lymphangioma. Surgical removal was successful, and the patient remains recurrence-free, highlighting effective treatment for this rare condition.
Area of Science:
- Thoracic Surgery
- Surgical Pathology
- Oncology
Background:
- Mediastinal cysts represent a diverse group of congenital and acquired lesions within the chest.
- Cystic lymphangiomas, a type of benign tumor, can occur in various locations, including the mediastinum.
- Early and accurate diagnosis is crucial for effective management of mediastinal masses.
Observation:
- A 53-year-old female patient presented with an abnormal chest shadow on imaging.
- Computed Tomography (CT) revealed a cyst within the mediastinum.
- The patient underwent surgical resection of the mediastinal cyst.
Findings:
- Histopathological examination confirmed the cyst to be a cystic lymphangioma.
- The cyst contained bloody fluid with a significant presence of lymphocytes.
- No evidence of malignancy was noted.
Implications:
- Surgical resection is an effective treatment for symptomatic or suspicious mediastinal cystic lymphangiomas.
- Complete excision can lead to favorable long-term outcomes and prevent recurrence.
- This case underscores the importance of considering cystic lymphangioma in the differential diagnosis of mediastinal cysts.
Abstract:
A 53-year-old woman was admitted to our hospital for chest abnormal shadow. Chest CT showed a mediastinal cyst. Tumor resection was performed and the cyst turned out to be a cystic lymphangioma with bloody fluid. There were many lymphocytes in the fluid. She lives well without recurrence.