A Case of Splenic Lymphangioma with Rapid Growth

Koji Shibata, Masaya Shiomi, Yuichiro Tojima, Katsutaka Watanabe, Hidehiko Otsuji, Naoya Yamaguchi and Junichi Kamiya

Department of Surgery, Aichiken Koseiren Kamo Hospital

The patient is a 58-year-old man underwent radical nephrectomy for left renal cell carcinoma at age 56 to remove a 72 mm tumor negative for lymph node metastasis. He underwent adjuvant interferon therapy. Although preoperative imaging diagnosis 2 months after the operation showed no splenic tumor, computed tomography (CT) showed a 14×10 mm splenic tumor 6 months postoperatively. After the tumor grew to 20×16 mm, we conducted a splenectomy based on a diagnosis of renal cell carcinoma metastasis. The histopathological diagnosis was a cavernous lymphangioma of the spleen. In our survey of the Japanese literature on splenic lymphangioma for the last 24 years showed only 4 reports of rapidly growing splenic lymphangioma. We have found no reports of newly developed splenic lymphangioma. This tumor may thus be rare rapidly growing splenic lymphangioma.

Key words
splenic lymphangioma, nephrectomy

Reprint requests
Koji Shibata Department of Surgery, Aichiken Koseiren Kamo Hospital
3-17 Motoshiro-cho, Toyota, 471-8505 JAPAN

Accepted
May 30, 2007

To read the PDF file you will need Abobe Reader installed on your computer.