Cystic adrenal lymphangioma--report of two cases and review of the literature

• Published in: Journal of the Pakistan Medical Association Vol. 62; no. 9; pp. 962 - 964
• Main Authors: Cakir, Ebru, Aydin, N Engin, Samdanci, Emine, Ates, Mustafa, Elmali, Candan, Sayin, Sadegul, Erdem, Gulnur
• Format: Journal Article
• Language: English
• Published: Pakistan Knowledge Bylanes 01-09-2012
• Subjects: Adrenal Gland Neoplasms - complications; Adrenal Gland Neoplasms - pathology; Adrenal Gland Neoplasms - physiopathology; Adrenal Gland Neoplasms - surgery; Adrenal Glands - pathology; Adrenal Glands - surgery; Adrenalectomy - methods; Care and treatment; Case studies; Diagnosis; Diagnosis, Differential; Flank Pain - etiology; Flushing - etiology; Humans; Hypertension - etiology; Lymphangioma; Lymphangioma, Cystic - complications; Lymphangioma, Cystic - pathology; Lymphangioma, Cystic - physiopathology; Lymphangioma, Cystic - surgery; Male; Middle Aged; Tomography, X-Ray Computed; Treatment Outcome; Pakistan
• ISSN: 0030-9982

Cystic adrenal lymphangiomas are very rare, benign vascular lesions. They are usually found during a work up for abdominal pain or incidentally during imaging studies for an unrelated cause. We report two cases of cystic adrenal lymphangiomas. They presented with flank discomfort, hypertension and flushing. Their laboratory findings were in normal limits. Radiologic imagings showed adrenal cystic neoplasm and the patients underwent adrenelectomy. Histopathologic examination and immunohistochemical findings were consistent with lymphangioma. Cystic lymphangiomas may imitate other adrenal neoplasms and must be kept in mind in the clinical and radiologic differential diagnosis of cystic adrenal lesions.