Lymphangioma - chest wall

Case contributed by Dr Ammar Haouimi

Presentation

Progressive painless swelling of the left chest wall with no fever.

Patient Data

Age: 55 years
Gender: Female
Ultrasound

A multiseptated cystic mass of the left chest wall with posterior acoustic enhancement.

CT

A well-defined lobulated multiseptated cystic mass of the left posterior chest wall, medial to the serratus muscle and anterior to the latissimus dorsi with mild enhancement of the septae following IV contrast.  No intrathoracic extension or erosion of the adjacent ribs.

Pathology

The cystic mass measures 8x4.5 cm with yellow citrine content.

Microscopically: the inner wall lined by fibrin and surrounded by fibrous tissue and covered with smooth muscle cells and seat of hyperplasia made of vessels of variable size engorged with blood, bordered by a regular endothelium.

Case Discussion

A case of a lymphangioma of the chest wall confirmed after surgery and histopathological study.

 

Additional contributor: Dr. Ahmed Hamza MD, general surgeon at Ibn Sin clinic, Batna, Algeria.

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Case information

rID: 65828
Published: 26th Feb 2019
Last edited: 3rd Mar 2019
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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