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Jain S, Dhingra S, Tandon S, Lamba AK, Faraz F. Oral Hemangiolymphangioma Presenting As Gingival Enlargement: A Rare Case With Literature Review. Cureus 2023; 15:e46674. [PMID: 37942374 PMCID: PMC10628606 DOI: 10.7759/cureus.46674] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/07/2023] [Indexed: 11/10/2023] Open
Abstract
Vascular malformations are anomalies that are caused by disturbances in vasculogenesis. Depending upon the dominant structure present histologically, they may be found in different combinations of vascular elements and are named hemangiolymphangioma (HLA) or lymphangiohemangioma (LHA). HLA occurs in multiple anatomical sites, such as the head and neck, axilla, abdominal cavity, extremities, and urinary bladder, but it is infrequent in the oral cavity. An 18-year-old male with a history of abdominal tuberculosis presented with an asymptomatic mandibular gingival swelling that was histologically diagnosed as HLA. A six-month follow-up revealed no recurrence. The observations reported in this case are unusual, and our literature review revealed no previously documented case of gingival HLA.
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Affiliation(s)
- Supriya Jain
- Periodontics, Maulana Azad Institute of Dental Sciences, New Delhi, IND
| | - Sachin Dhingra
- Periodontics, Maulana Azad Institute of Dental Sciences, New Delhi, IND
| | - Shruti Tandon
- Periodontics, Maulana Azad Institute of Dental Sciences, New Delhi, IND
| | - Arundeep K Lamba
- Periodontics, Maulana Azad Institute of Dental Sciences, New Delhi, IND
| | - Farrukh Faraz
- Periodontics, Maulana Azad Institute of Dental Sciences, New Delhi, IND
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Liu L, Xiao Y, Yue X, Wang Q. Extremely rare pediatric primary scrotum tumor: spermatic cord hemolymphangioma for a case report and literature review. World J Surg Oncol 2023; 21:226. [PMID: 37495989 PMCID: PMC10369800 DOI: 10.1186/s12957-023-03118-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Accepted: 07/18/2023] [Indexed: 07/28/2023] Open
Abstract
Hemolymphangioma is an uncommon benign tumor type that commonly occurs in the head and neck. Primary spermatic cord hemolymphangioma (SCH) with only several reported, however, is extremely rare. Clinical diagnosis can be challenging because of its rarity. Although spermatic cord hemolymphangiomas are benign tumors, there is still a high recurrence rate in postoperative. A 15-year-old boy presented to our hospital with complaints of scrotal for 15 days and did not have other associated symptoms. The male genital color Doppler ultrasound revealed that a cystic echo in the left spermatic cord region and above the testes was about 32 mm × 20 mm × 14 mm. He underwent left en bloc scrotum tumor resection under general anesthesia, and pathologic examination showed SCH. He was discharged from the hospital in the second postoperative day. After 1-month follow-up, the patient recovered well without recurrence. The patient is currently in follow-up phase. Up to date, only a few cases have been reported in the literature about SCH. So, we hope to raise the awareness of the diagnosis of SCH in clinical practice although this case.
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Affiliation(s)
- Liang Liu
- Department of Urology, Baoding No. 1 Central Hospital, Changcheng North Street and Number 320, Bao-ding, 071000, Hebei, China.
- Prostate and Andrology Key Laboratory of Baoding, Changcheng North Street and Number 320, Bao-ding, 071000, Hebei, China.
| | - Yu Xiao
- Psychosomatic Medical Center, The Fourth People's Hospital of Chengdu, Chengdu, 610036, Sichuan, China
- Psychosomatic Medical Center, The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, 610036, Sichuan, China
| | - Xiao Yue
- Department of Urology, Baoding No. 1 Central Hospital, Changcheng North Street and Number 320, Bao-ding, 071000, Hebei, China
- Prostate and Andrology Key Laboratory of Baoding, Changcheng North Street and Number 320, Bao-ding, 071000, Hebei, China
| | - Qiang Wang
- Department of Urology, Baoding No. 1 Central Hospital, Changcheng North Street and Number 320, Bao-ding, 071000, Hebei, China.
- Prostate and Andrology Key Laboratory of Baoding, Changcheng North Street and Number 320, Bao-ding, 071000, Hebei, China.
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Chen B, Fan T, Cao Y, Hu L, Yu G. Case report: obstruction in the right ventricular outflow tract due to hemolymphangioma. Front Cardiovasc Med 2023; 10:1142970. [PMID: 37304944 PMCID: PMC10250741 DOI: 10.3389/fcvm.2023.1142970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Accepted: 04/03/2023] [Indexed: 06/13/2023] Open
Abstract
Cardiac masses commonly involve primary tumors, metastatic diseases, and nonbacterial thrombotic and infective endocarditis. myxomas are the most common primary tumors, accounting for 75%. Hemolymphangiomas are a group of congenital vascular and lymphatic malformations that originate from the mesenchyme, with an incidence rate of 0.12%-0.28% per year. Hemolymphangiomas have been found in the rectum, small intestine, spleen, liver, chest wall, and mediastinum but have not yet been reported in the ventricular outflow tract in the heart. Herein, we report a case of a hemolymphangioma tumor in the right ventricular outflow tract (RVOT). The tumor was successfully resected, and the patient was followed up for 18 months and did not exhibit tumor recurrence.
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Hamada Y, Umeda Y, Ikenoyama Y, Shigefuku A, Yukimoto H, Nakamura M, Katsurahara M, Tanaka K, Horiki N, Sugimoto Y, Nakagawa H. Obscure Gastrointestinal Bleeding Caused by a Small Intestinal Lymphatic-venous Malformation: A Case Report with a Literature Review. Intern Med 2023; 62:387-391. [PMID: 35732456 PMCID: PMC9970798 DOI: 10.2169/internalmedicine.9733-22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
A 44-year-old woman presented with severe anemia. We strongly suspected gastrointestinal bleeding; however, esophagogastroduodenoscopy, colonoscopy, and computed tomography showed no bleeding sources. Video capsule endoscopy revealed an actively bleeding submucosal lesion within the jejunum. Double-balloon enteroscopy revealed a 20-mm continuously bleeding submucosal lesion in the distal jejunum. We suspected small intestinal vascular malformation and performed surgical resection. The resected specimen pathologically comprised dilated, thin-walled lymphatic channels and blood vessels involving the small intestinal submucosa. Therefore, the patient was diagnosed with small intestinal lymphatic-venous malformation. Postoperatively, the patient recovered well, and recurrence was not observed.
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Affiliation(s)
- Yasuhiko Hamada
- Department of Gastroenterology and Hepatology, Mie University Hospital, Japan
| | - Yuhei Umeda
- Department of Gastroenterology and Hepatology, Mie University Hospital, Japan
| | - Yohei Ikenoyama
- Department of Gastroenterology and Hepatology, Mie University Hospital, Japan
| | - Akina Shigefuku
- Department of Gastroenterology and Hepatology, Mie University Hospital, Japan
| | - Hiroki Yukimoto
- Department of Gastroenterology and Hepatology, Mie University Hospital, Japan
| | - Misaki Nakamura
- Department of Gastroenterology and Hepatology, Mie University Hospital, Japan
| | - Masaki Katsurahara
- Department of Gastroenterology and Hepatology, Mie University Hospital, Japan
| | - Kyosuke Tanaka
- Department of Gastroenterology and Hepatology, Mie University Hospital, Japan
| | - Noriyuki Horiki
- Department of Gastroenterology and Hepatology, Mie University Hospital, Japan
| | - Yuka Sugimoto
- Department of Hematology and Oncology, Mie University Hospital, Japan
| | - Hayato Nakagawa
- Department of Gastroenterology and Hepatology, Mie University Hospital, Japan
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Ying Q, Cui S, Zhou K, Chen Y, Wei P, Ye Q. Hemolymphangioma invasion of R scapula and mediastinum: a rare case report. Pediatr Hematol Oncol 2022; 39:174-179. [PMID: 34355653 DOI: 10.1080/08880018.2021.1956659] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Qianqian Ying
- Department of Pediatrics, Ningbo First Hospital, Ningbo Hospital of Zhejiang University, Ningbo, People's Republic of China
| | - Shengzhi Cui
- Department of Pediatrics, Ningbo First Hospital, Ningbo Hospital of Zhejiang University, Ningbo, People's Republic of China
| | - Kai Zhou
- Department of Pediatrics, Ningbo First Hospital, Ningbo Hospital of Zhejiang University, Ningbo, People's Republic of China
| | - Ying Chen
- Department of Pediatrics, Ningbo First Hospital, Ningbo Hospital of Zhejiang University, Ningbo, People's Republic of China
| | - Peng Wei
- Department of Repair and Reconstruction Surgery, Ningbo First Hospital, Ningbo Hospital of Zhejiang University, Ningbo, People's Republic of China
| | - Qidong Ye
- Department of Pediatrics, Ningbo First Hospital, Ningbo Hospital of Zhejiang University, Ningbo, People's Republic of China
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Li O, Sallam YT, Kwan KF, Qiabi M, Paul NS, Abdelrazek MA. Resection of a Large Hemorrhagic Mediastinal Lymphangioma in an Adult Patient: A Radiologic-Pathologic Correlation. Radiol Cardiothorac Imaging 2022; 4:e210043. [PMID: 35782756 PMCID: PMC8893207 DOI: 10.1148/ryct.210043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2021] [Revised: 11/17/2021] [Accepted: 11/30/2021] [Indexed: 06/15/2023]
Abstract
Lymphangiomas are rare benign lesions resulting from abnormal proliferation and sequestration of lymphatic tissues that are disconnected from the rest of the lymphatic system. This is a case of a 50-year-old woman with an unusually large mediastinal lymphangioma complicated by hemorrhage. The substantial mass effect and unstable clinical status necessitated urgent operative management. The use of preoperative multimodality radiologic assessment, including CT and MRI, is illustrated throughout this case. Keywords: CT, MR Imaging, Thorax, Lung © RSNA, 2022.
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Wang M, Liu HF, Zhang YZZ, Zou ZQ, Wu ZQ. Hemolymphangioma with multiple hemangiomas in liver of elderly woman with history of gynecological malignancy: A case report. World J Clin Cases 2021; 9:9948-9953. [PMID: 34877335 PMCID: PMC8610928 DOI: 10.12998/wjcc.v9.i32.9948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2021] [Revised: 07/02/2021] [Accepted: 09/08/2021] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Hepatic hemolymphangioma is an extremely rare benign congenital malformation composed of cystically dilated lymphatic and blood vessels, and they have nonspecific clinical symptoms and laboratory results. In this study, hepatic hemolymphangioma with multiple hemangiomas in an elderly woman was initially reported and analyzed.
CASE SUMMARY A 61-year-old female patient, with a history of hysterectomy and bilateral adnexectomy, was referred to the hepatobiliary surgery department with the complaint of multiple hepatic hemangiomas that had been diagnosed 2 years prior in a preoperative contrast-enhanced computed tomography (CECT) examination. Upon entering our hospital, no abnormal physical examination and laboratory data were found. The latest CECT revealed a new 7.0 cm × 6.2 cm cystic-solid lesion with multiple internal divisions in segment II of the liver, with delayed CECT enhancement characteristics that presented as solid parts with internal division. On the positron emission tomography (PET)/CT, no significant uptake of 18F-fluorodeoxyglucse was observed. Finally, hepatic hemolymphangioma was confirmed based on the pathological and immunohistochemical results after surgery. At 1-year follow-up, her posthepatectomy evaluation was uneventful, and she had recovered full activity. In addition, no postoperative recurrent or residual lesion was found on CECT imaging.
CONCLUSION Hepatic hemolymphangioma with multiple hemangiomas was reported and observed by CECT and PET/CT imaging.
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Affiliation(s)
- Min Wang
- Department of Anesthesiology, Changzhou Second People's Hospital Affiliated to Nanjing Medical University, Changzhou 213003, Jiangsu Province, China
| | - Hai-Feng Liu
- Department of Radiology, Third Affiliated Hospital of Soochow University and Changzhou First People's Hospital, Changzhou 213003, Jiangsu Province, China
| | - Yan-Zhen-Zi Zhang
- Department of Pathology, Third Affiliated Hospital of Soochow University and Changzhou First People’s Hospital, Changzhou 213003, Jiangsu Province, China
| | - Zhi-Qing Zou
- Department of Anesthesiology, Changzhou Second People's Hospital Affiliated to Nanjing Medical University, Changzhou 213003, Jiangsu Province, China
| | - Zhou-Quan Wu
- Department of Anesthesiology, Changzhou Second People's Hospital Affiliated to Nanjing Medical University, Changzhou 213003, Jiangsu Province, China
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Du Y, Zhang JN, Zhu LL, Wang Y, Li WP. Haemolymphangioma of the small bowel mesentery in adults: two case reports and a literature review. BMC Gastroenterol 2021; 21:273. [PMID: 34217200 PMCID: PMC8255028 DOI: 10.1186/s12876-021-01855-w] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Accepted: 06/23/2021] [Indexed: 12/03/2022] Open
Abstract
Background Haemolymphangioma arising from the small bowel and its mesentery is extremely rare in the clinical setting. To date, only 8 cases of small bowel haemolymphangioma have been reported, and there have been no previously reported cases of haemolymphangioma in the small bowel mesentery (PubMed). The formation of this tumour is mostly congenital, but the exact mechanism is still unclear. As a benign tumour, the presentation of the disease may vary from a simple well-defined cystic lesion to an aggressive ill-defined lesion mimicking malignancy. However, there are no typical symptoms, and preoperative diagnosis is difficult. Case presentation We present two cases of haemolymphangioma in the small bowel mesentery in a 54-year-old man and a 52-year-old woman. Both of them came to the hospital due to an abdominal mass. In the first case, a cystic teratoma in the left abdominal area was considered after abdominal plain computed tomography (CT) and magnetic resonance imaging (MRI) scans. After taking an enhanced CT scan, a lipoma was considered based on the images. In the second case, cystic masses of the left upper and middle abdomen were observed on abdominal ultrasonography. An abdominal plain CT scan showed an irregular low-density mass in the left upper and middle abdomen. With an enhanced CT scan, haemolymphangioma was considered based on the images. After complete surgical removal, the masses were found to originate from the small bowel mesentery and had not invaded into the peripheral lymphatic tissue. In case 1 in this study, the routine pathology diagnosis was lymphangioma, while in case 2, the diagnosis was haemangioma. The final diagnosis was confirmed to be haemolymphangioma by immunohistochemistry in both cases. No recurrence was evident during 4 months of follow-up. We review the previous case reports of haemolymphangioma in the abdominal cavity and discuss their clinical features, diagnosis, treatment and prognosis. Conclusions The clinical manifestations of abdominal haemolymphangiomas can vary for both location and size. Abdominal CT examination has important clinical value for haemolymphangioma in the abdominal cavity. The final diagnosis of haemolymphangioma depends on a postoperative pathological examination. In addition, postoperative regular follow-up is necessary.
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Affiliation(s)
- Yao Du
- Department of Gastrointestinal Surgery, The First people's Hospital of Taicang City, Taicang Affiliated Hospital of Soochow University, Taicang City, 215400, Jiangsu Province, China.,Department of Gastrointestinal Surgery, The First Affiliated Hospital of Nanchang University, Nanchang City, 330006, Jiangxi Province, China
| | - Jiang Nan Zhang
- Department of Gastrointestinal Surgery, The First Affiliated Hospital of Nanchang University, Nanchang City, 330006, Jiangxi Province, China
| | - Lu Lu Zhu
- Department of Pathology, The First people's Hospital of Taicang City, Taicang Affiliated Hospital of Soochow University, Taicang City, 215400, Jiangsu Province, China
| | - Yi Wang
- Department of Gastrointestinal Surgery, The First people's Hospital of Taicang City, Taicang Affiliated Hospital of Soochow University, Taicang City, 215400, Jiangsu Province, China
| | - Wei Ping Li
- Department of Gastrointestinal Surgery, The First people's Hospital of Taicang City, Taicang Affiliated Hospital of Soochow University, Taicang City, 215400, Jiangsu Province, China.
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Yang SX, Zhou YH, Zhang J, Miao L, Zhong JW, Wang WX, Xu CL, Cai ZZ, Lu GR. Haemorrhagic ileal haemolymphangioma: a case report and review of the literature. J Int Med Res 2021; 49:300060520986677. [PMID: 33528281 PMCID: PMC7871067 DOI: 10.1177/0300060520986677] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
We describe herein a 37-year-old woman with a 2-week history of melena who was eventually diagnosed with ileal haemolymphangioma, a rare benign tumour. Local mucosal congestion and swelling were found through single-balloon enteroscopy, which showed an irregular protuberance approximately 10 cm long, located 3.2 m from the Treitz ligament. We performed a laparoscopic-assisted partial resection of the small intestine combined with intestinal adhesiolysis. According to postoperative pathology, the final diagnosis was ileal haemolymphangioma with haemorrhage.
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Affiliation(s)
- Shou-Xing Yang
- Department of Gastroenterology, The Second Affiliated Hospital of 26453Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Yu-Hui Zhou
- Department of Gastroenterology, The Second Affiliated Hospital of 26453Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Jing Zhang
- Department of Gastroenterology, The Second Affiliated Hospital of 26453Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Lei Miao
- Department of Gastroenterology, The Second Affiliated Hospital of 26453Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Jing-Wei Zhong
- Department of Gastroenterology, The Second Affiliated Hospital of 26453Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Wen-Xing Wang
- Department of Gastroenterology, The Second Affiliated Hospital of 26453Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Chang-Long Xu
- Department of Gastroenterology, The Second Affiliated Hospital of 26453Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Zhen-Zhai Cai
- Department of Gastroenterology, The Second Affiliated Hospital of 26453Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Guang-Rong Lu
- Department of Gastroenterology, The Second Affiliated Hospital of 26453Wenzhou Medical University, Wenzhou, Zhejiang, China
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