増大傾向を認めた脾リンパ管腫の1例

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  • A Case of Splenic Lymphangioma with Rapid Growth

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The patient is a 58-year-old man underwent radical nephrectomy for left renal cell carcinoma at age 56 to remove a 72mm 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 14×10mm splenic tumor 6 months postoperatively. After the tumor grew to 20×16mm, 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.

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