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Lymphangioma involving whole mesentery confirmed by core needle biopsy

침 생검술로 확진된 전체 장간막을 침범한 림프관종

  • Jang, Won Young (Department of Internal Medicine, Keimyung University Dongsan Hospital, Keimyung University College of Medicine) ;
  • Do, Min Young (Department of Internal Medicine, Keimyung University Dongsan Hospital, Keimyung University College of Medicine) ;
  • Ahn, Byung Chan (Department of Internal Medicine, Keimyung University Dongsan Hospital, Keimyung University College of Medicine) ;
  • Park, Myeong Soon (Department of Internal Medicine, Keimyung University Dongsan Hospital, Keimyung University College of Medicine) ;
  • Kim, Hyun Ah (Department of Internal Medicine, Keimyung University Dongsan Hospital, Keimyung University College of Medicine) ;
  • Ryu, Seong-Yeol (Department of Internal Medicine, Keimyung University Dongsan Hospital, Keimyung University College of Medicine) ;
  • Kim, Sang Pyo (Department of Pathology, Keimyung University Dongsan Hospital, Keimyung University College of Medicine) ;
  • Park, Keon Uk (Department of Internal Medicine, Keimyung University Dongsan Hospital, Keimyung University College of Medicine)
  • 장원영 (계명대학교 의과대학 내과학교실) ;
  • 도민영 (계명대학교 의과대학 내과학교실) ;
  • 안병찬 (계명대학교 의과대학 내과학교실) ;
  • 박명순 (계명대학교 의과대학 내과학교실) ;
  • 김현아 (계명대학교 의과대학 내과학교실) ;
  • 류성열 (계명대학교 의과대학 내과학교실) ;
  • 김상표 (계명대학교 의과대학 병리학교실) ;
  • 박건욱 (계명대학교 의과대학 내과학교실)
  • Received : 2015.03.05
  • Accepted : 2015.06.01
  • Published : 2016.11.18

Abstract

Lymphangiomas are malformations of the lymphatic system accounting for approximately 5% of all benign tumors in infants and children. Abdominal lymphangiomas are rare, and can arise from either the retroperitoneum, gastrointestinal tract, or the mesentery of the abdominal viscera. Lymphangioma involving the whole mesentery is particularly rare. Most lymphangiomas are detected during infancy or childhood, but intraabdominal lymphangiomas such as mesentery are not found until adulthood. We report here on a patient with uncommon lymphangioma involving the whole mesentery who presented with fever and abdominal pain. This patient is unusual because he was confirmed through core needle biopsy which showed variable sized lymphatic spaces representing a immunoreactive for D2-40 antibody with involvement of the whole mesentery. No cases of mesenteric lymphangioma confirmed preoperatively have been previously reported in Korea.

Keywords

References

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