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CASE REPORT
Year : 2019  |  Volume : 6  |  Issue : 3  |  Page : 147-150

A huge retroperitoneal cystic lymphangioma mimicking an adnexal cyst

Yan-Fong Lu1, Lee-Wen Huang2, Yuh-Yu Chou3, Tsen-Long Yang4
1 Department of Obstetrics and Gynecology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
2 Department of Obstetrics and Gynecology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei; Department of Obstetrics and Gynecology, School of Medicine, Fu-Jen Catholic University, New Taipei City; Department of Obstetrics and Gynecology, School of Medicine, Taipei Medical University, Taipei, Taiwan
3 Department of Pathology and Laboratory Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
4 Department of Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan

Correspondence Address:
Dr. Lee-Wen Huang
Department of Obstetrics and Gynecology, Shin Kong Wu Ho-Su Memorial Hospital, No. 95 Wen Chang Road, Shih-Lin District, Taipei 111
Taiwan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JCRP.JCRP_7_19

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We present a case of retroperitoneal cystic lymphangioma mimicking an adnexal cyst. The clinical presentation and prognosis of the disease, histological features with unique staining patterns, and differential diagnoses are discussed. A 60-year-old woman presented with acid reflux and a bulging left abdominal mass. Abdominal computed tomography revealed an 18-cm well-defined retroperitoneal tumor occupying the left side of her abdomen with descending colon and aorta displacement. The retroperitoneal tumor was resected; its diameter was approximately 18 cm with up to 2000 mL of the chylous fluid. Histopathological analysis, including immunohistochemical staining, confirmed the definitive diagnosis of retroperitoneal cystic lymphangioma.


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