Adrenal cystic lymphangioma

Case contributed by Dr Domenico Nicoletti

Presentation

Left adrenal mass. Incidental finding. 40-year-old man admitted to the hospital, complaining of weakness, putting on weight, and lumbago. His laboratory findings are within normal limits.

Patient Data

Age: 40 years
Gender: Male

CT abdomen with contrast

CT

In the left adrenal gland, there’s an ovoid, well-circumscribed multilocular lesion (maximum diameters greater than 7 cm) with overall low-attenuation internal contents and nodular scattered peripheral calcifications. Multiple-phase CT images show non-enhancing contents and residual adrenal gland; within the lesion there are thin septations showing enhancement. There’s also a little FNH lesion located on the left hepatic lobe and horseshoe kidney. Left adrenalectomy was performed. 

Histological report

Pathology

Histopathological examination and immunohistochemical analysis of the cystic lesion were consistent with a lymphangioma.

Case Discussion

Lymphangiomas can occur in a variety of locations within the body. It is commonly found in the neck, axillary region, and mediastinum. Cystic lymphangioma is an uncommon lesion in the adrenal gland. Lymphangiomas arise from abnormal proliferation of the lymphatic vessels. Maybe to result from a blockage of lymphatic flow with development of lymphangiectasis.

 

Case courtesy: Dr.ssa Chiara Gennari

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