Acta Radiol Open (ISSN: 2058-4601electronic, 2058-4601print), 2015 May 18; 4(5): 2047981614564911-2047981614564911.
Tipo di articolo: Journal Article,
Impact factor: 0, Impact factor a 5 anni: 0
Url: Non disponibile.
Parole chiave: Imaging, Abdomen, Chest, Computed Tomography (ct), Cystic Lymphangioma, Magnetic Resonance Imaging (mri), Ultrasound (us),
*** IBB - CNR *** Dipartimento di Scienze Biomediche Avanzate, Universita degli Studi di Napoli Federico II (UNINA), Naples, Italy., Istituto di Biostrutture e Bioimmagini - Consiglio Nazionale delle Ricerche (IBB-CNR), Naples, Italy., Dipartimento di Chirurgia Generale, Geriatrica, Oncologica e Videoassistita, Universita degli Studi di Napoli Federico II (UNINA); Fondazione SDN (IRCCS), Naples, Italy.,
BACKGROUND: Cystic lymphangioma is a rare benign lesion derived from the detachment of the lymph sacs from venous drainage systems; the treatment of choice is a surgical excision and the final diagnosis is of histological type. PURPOSE: To compare the results of ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI) in patients with cystic lymphangioma to clearly evaluate the anatomic as well as the structural lesion features necessary for differential diagnosis and for the patient treatment planning. MATERIAL AND METHODS: We analyzed the imaging results of six patients admitted in our department to evaluate cyst-like tumor masses clinically palpable or detected by US. All the patients underwent US, CT, and MRI. The pathology reports demonstrated a mesenterial cystic lymphangioma in five cases underwent surgical resection and in the last case a chest cystic lymphangioma underwent a fine needle aspiration biopsy (FNAB). RESULTS: In all the cases, the results of US, CT, and MRI were concordant showing cyst-like tumor masses in the abdomen (n = 5) and chest (n = 1) ranging in size from 3.5 to 15 cm. CONCLUSION: According to our experience, we suggest that the appropriate diagnostic imaging protocol in patients with cystic lymphangioma should initially include the US study and followed by a MRI scan with contrast administration. CT should be avoided because of radiation exposure. US and MRI may also be useful in the follow-up of patients who refuse surgical resection or in whom surgery is contraindicated or postponed as well as to early detect a possible disease relapse.
Ntziachristos V, Cuénod CA, Fournier L, Balvay D, Pradel C, Siauve N, Clement O, Jouannot E, Lucidarme O, Vecchio SD, Salvatore M, Law B, Tung C-H, Jain RK, Fukumura D, Munn LL, Brown EB, Schellenberger E, Montet X, Weissleder R, Clerck ND, Postnov A * Tumor Imaging(236 visite) Textbook Of In Vivo Imaging In Vertebrates (ISSN: 9780-4700), 2007 Jul 16; 1: 277-309. Impact Factor:1.148 DettagliEsporta in BibTeXEsporta in EndNote
13 Records (12 escludendo Abstract e Conferenze). Impact factor totale: 36.614 (35.264 escludendo Abstract e Conferenze). Impact factor a 5 anni totale: 34.779 (33.313 escludendo Abstract e Conferenze).