TWO CASES OF SPLENIC LYMPHANGIOMA

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  • DEGAWA Hisakazu
    Department of Surgery, The Institute of Medical Science, The University of Tokyo Department of Transplatation, The Institute of Medical Science, The University of Tokyo
  • WATANABE Kenshi
    Department of Surgery, The Institute of Medical Science, The University of Tokyo Department of Transplatation, The Institute of Medical Science, The University of Tokyo
  • TOMIKAWA Shinji
    Department of Surgery, The Institute of Medical Science, The University of Tokyo Department of Transplatation, The Institute of Medical Science, The University of Tokyo
  • NAGAO Takeshi
    Department of Surgery, The Institute of Medical Science, The University of Tokyo Department of Transplatation, The Institute of Medical Science, The University of Tokyo
  • UCHIDA Hisanori
    Department of Surgery, The Institute of Medical Science, The University of Tokyo Department of Transplatation, The Institute of Medical Science, The University of Tokyo
  • KOSAKI Koichi
    Department of Surgery, The Institute of Medical Science, The University of Tokyo
  • NISHIMURA Yoji
    Department of Surgery, The Institute of Medical Science, The University of Tokyo
  • ICHIKAWA Naoya
    Department of Surgery, Jinwakai General Hospital
  • MEIGATA Kazuhiko
    Department of Surgery, Jinwakai General Hospital

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  • 脾リンパ管腫の2例

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Abstract

We experienced 2 cases of splenic lymphangioma. Case 1 was a 73-year-old woman. Incidental sonography after oophorectomy for an ovarian cyst revealed a splenic tumor. Splenectomy was carried out, because we could not rule out probable malignant tumor such as metastasis from the ovarian carcinoma. Histological diagnosis was splenic lymphangioma. Case 2 was a 61-year-old woman. She was pointed out her liver dysfunction on a health screening. Sonography revealed fatty liver, gallstone and splenic tumor. An increase in size of the tumor was confirmed at 3 months interval. Splenectomy was performed. The diagnosis lymphagioma was made histologicaly. <br> So far, about 60 cases of splenic lymphagioma have been reported in Japan. The frequency of asymptomatic cases which are incidentally detected by imagings has increased recently. We discussed about the operative indication for such cases. It is concluded that a typical case with accurate imaging diagnosis can be observed without surgery, but in many actual cases which present difficulty in preoperative diagnosis splenectomy would be a choice of treatment like these cases.

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