Japanese

Lymphangioma of the Stomach, Report of a Case Yasunori Mikami 1 , Ryukichi Hada 1 , Masanori Ozawa 1 , Yuzuru Sugiyama 1 , Takio Baba 2 1The Second Department of Surgery, Hirosaki University, School of Medicine 2The First Department of Internal Medicine, Hirosaki University, School of Medicine pp.219-224
Published Date 1987/2/25
DOI https://doi.org/10.11477/mf.1403112242
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 A case of cavernous lymphangioma of the stomach, which developed in the lesser curvature, is reported. In addition, literature review was made, which identified 45 cases reported so far in Japan. Six cases of giant (150 mm) lymphangioma are reviewed as well (Table 2).

 In November 1982,57-year old asymptomatic female was suspected of having a submucosal tumor of the stomach at a gastric carcinoma mass survey. X-ray examination revealed a giant submucosal tumor in the lesser curvature (Fig. 1). Gastrofiberscopy, however, showed multiple protuberant lesions. The surfaces were smooth and similar to the surrounding normal mucosa. The mucosa seemed to have fluctuation as well as bridging folds (Fig. 2). Normal five layers of gastric wall were not visualized by endoscopic ultrasonography (EUS ), which highly suggests submucosal multilocular lesions. Computed tomography (CT) demonstrated a large low-density tumor extending from the lesser curvature to the hilus of the spleen (Fig. 4). The tumor had no signs of malignancy on CT. In April 1985, total gastrectomy and tumor resection were performed. Resected specimen showed a giant submucosal and subserous tumor, measuring 16 × 9 × 6 cm in size (Fig. 5). The cut surface was multilocular like honeycomb with serous material in the cysts (Fig. 6 a). Histologically, the wall consisted of a single layer of endothelium and there was eosinophilic material in the cyst. Final histo-logical diagnosis was cavernous lymphangioma of the stomach (Fig. 6 b). Postoperative course was uneventful.


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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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