Cystic Lymphangioma of the Adrenal Gland

Nina Mahne*¹, Natalia Lipskaia², Andreas Lunacek¹, Badereddin Mohamad Al-Ali¹ and Eugen Plas¹

Received:May 04, 2018;   Published: May 14,2018

DOI: 10.26717/BJSTR.2018.04.001067

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Abstract

Cystic lymphangiomas of the adrenal gland are rare, benign lesions of vascular origin with lymphatic differentiation. Most of these lesions are discovered incidentally during radiological imaging studies, surgery or autopsy. As radiologic techniques have improved, adrenal cysts are discovered more often. We present a 49-year-old woman who was referred to our hospital with a growing cystic mass located in the left suprarenal space causing left flank pain. The lesion had previously been described as a simple left renal cyst observed by ultrasound follow-up studies. Further characterization by magnetic resonance tomography (MRT) displayed a 7.0 x 4.0 x 4.6 cm left adrenal septated cyst. A hormonesecreting tumor was excluded. An organ-sparing left laparoscopic adrenalectomy was performed. Histopathological examination revealed a benign cystic lymphangioma of the left adrenal gland. The lining cells showed strong immunoreactivity for CD31 and D2-40 (podoplanin). Diagnostic features and surgical treatment of an uncommon lesion are discussed.

Keywords: Adrenal Gland; Adrenal Cyst; Lymphangioma; Laparoscopy; Adrenalectomy

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