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Case Report

Online Publishing Date:
27 / 12 / 2023

 


Not every retroperitoneal mass is malignant

Teresa Medeiros, Rute Brás-Cruz, Joana dos Santos, M. Catarina Tavares, Rita Guedes.


Abstract
Background: Cystic lymphangioma is a rare benign tumor of the lymphatic system, most commonly observed in the neck and axilla (in 95% of cases). Less than 1% of lymphangiomas occur in the retroperitoneum.
Case report: A 46-year-old female was evaluated for bilateral flank pain, asthenia, and dyspnea with a one-year history. An abdominal computed tomography scan revealed an extensive conglomerate of lymph nodes in the middle retroperitoneum, with a predominantly cystic appearance. An excisional biopsy confirmed the diagnosis of cystic lymphangioma on an anatomopathological examination. Due to the compression of retroperitoneal structures, almost total cytoreductive surgery was proposed. However, in the immediate postoperative period, the patient developed thrombosis of the left renal vessels, resulting in renal hypoperfusion. No disease recurrence was observed after 3 years of follow-up.
Conclusion: This case presents a rare occurrence of cystic lymphangioma in adults, highlighting the importance of considering this entity in the differential diagnosis of retroperitoneal lymphatic masses.

Key words: Diagnostic challenges, Lymphangioma, Prognosis, Surgical Procedures


 
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How to Cite this Article
Pubmed Style

Medeiros T, Brás-Cruz R, Santos Jd, Tavares MC, Guedes R. Not every retroperitoneal mass is malignant. Int J Med Rev Case Rep. 2023; 7(8): 30-32. doi:10.5455/IJMRCR.172-1686343076

Web Style

Medeiros T, Brás-Cruz R, Santos Jd, Tavares MC, Guedes R. Not every retroperitoneal mass is malignant. https://www.mdpub.net/?mno=156952 [Access: May 31, 2024]. doi:10.5455/IJMRCR.172-1686343076

AMA (American Medical Association) Style

Medeiros T, Brás-Cruz R, Santos Jd, Tavares MC, Guedes R. Not every retroperitoneal mass is malignant. Int J Med Rev Case Rep. 2023; 7(8): 30-32. doi:10.5455/IJMRCR.172-1686343076


Vancouver/ICMJE Style

Medeiros T, Brás-Cruz R, Santos Jd, Tavares MC, Guedes R. Not every retroperitoneal mass is malignant. Int J Med Rev Case Rep. (2023), [cited May 31, 2024]; 7(8): 30-32. doi:10.5455/IJMRCR.172-1686343076


Harvard Style

Medeiros, T., Brás-Cruz, . R., Santos, . J. d., Tavares, . M. C. & Guedes, . R. (2023) Not every retroperitoneal mass is malignant. Int J Med Rev Case Rep, 7 (8), 30-32. doi:10.5455/IJMRCR.172-1686343076


Turabian Style

Medeiros, Teresa, Rute Brás-Cruz, Joana dos Santos, M. Catarina Tavares, and Rita Guedes. 2023. Not every retroperitoneal mass is malignant. International Journal of Medical Reviews and Case Reports, 7 (8), 30-32. doi:10.5455/IJMRCR.172-1686343076


Chicago Style

Medeiros, Teresa, Rute Brás-Cruz, Joana dos Santos, M. Catarina Tavares, and Rita Guedes. "Not every retroperitoneal mass is malignant." International Journal of Medical Reviews and Case Reports 7 (2023), 30-32. doi:10.5455/IJMRCR.172-1686343076


MLA (The Modern Language Association) Style

Medeiros, Teresa, Rute Brás-Cruz, Joana dos Santos, M. Catarina Tavares, and Rita Guedes. "Not every retroperitoneal mass is malignant." International Journal of Medical Reviews and Case Reports 7.8 (2023), 30-32. Print. doi:10.5455/IJMRCR.172-1686343076


APA (American Psychological Association) Style

Medeiros, T., Brás-Cruz, . R., Santos, . J. d., Tavares, . M. C. & Guedes, . R. (2023) Not every retroperitoneal mass is malignant. International Journal of Medical Reviews and Case Reports, 7 (8), 30-32. doi:10.5455/IJMRCR.172-1686343076


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