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J Yeungnam Med Sci > Volume 32(2); 2015 > Article
Yeungnam University Journal of Medicine 2015;32(2):155-158.
DOI:    Published online December 31, 2015.
A late onset solitary mediastinal cystic lymphangioma in a 66-year-old woman who underwent kidney transplantation.
Jung Mo Lee, Sang Hoon Lee, Youngmok Park, Chi Young Kim, Eun Kyoung Goag, Eun Hye Lee, Ji Eun Park, Chang Young Lee, Se Kyu Kim
1Division of Pulmonology, Department of Internal Medicine, Institute of Chest Diseases, Yonsei University College of Medicine, Seoul, Korea.
2Thoracic and Cardiovascular Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Lymphangioma is a congenital abnormality of the lymphatic system detected primarily in early childhood. There are rare reports of mediastinal lymphangioma in older adults. We hereby report on a 66-year-old female patient who underwent kidney transplantation 20 years previously and who developed pathologically confirmed solitary mediastinal lymphangioma 1 year ago. Chest radiography showed a mediastinal nodule, which was not observed 2 year previously, therefore she was referred to the pulmonary division. She had no symptoms, and chest computed tomography demonstrated a 25-mm, well-defined, low-density nodule located at the anterior mediastinum. The size of the nodule had increased from 25 mm to 34 mm 1 year later, and it was completely resected via video-assisted thoracic surgery. The histological diagnosis was cystic lymphangioma. Therefore, we recommend that clinicians consider cystic lymphangioma as a possible diagnosis even in older patients with a mediastinal cystic mass that shows progressive enlargement.
Key Words: Cystic lymphangioma, Mediastinum, Video-assisted thoracic surgery
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