Korean J Gastrointest Endosc > Volume 39(3); 2009 > Article
Korean Journal of Gastrointestinal Endoscopy 2009;39(3): 172-175.
대장에 발생한 림프관종증 1예
손범석ㆍ이창균ㆍ김덕수ㆍ이용섭ㆍ이석호ㆍ정일권ㆍ김선주ㆍ이지혜*
순천향대학교 의과대학 천안병원 내과학교실, *병리학교실
A Case of Lymphangiomatosis Arising in the Colon
Bum Suk Son, M.D., Chang Kyun Lee, M.D., Duk Su Kim, M.D., Yong Sub Lee, M.D., Suck-Ho Lee, M.D., Il-Kwun Chung, M.D., Sun-Joo Kim, M.D. and Ji Hye Lee, M.D.*
Departments of Internal Medicine and *Pathology, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Korea
Abstract
Lymphangioma is a benign vascular lesion that shows the characteristics of subepithelial tumor, which can proliferate in the lymphatic system. Only a few cases of multiple lymphangimas of the colon, the so called "colonic lymphanigomatosis", have been currently reported on the medical literature. Because lymphangioma is absolutely a benign tumor, it does not require any specific treatment, except for rare disease-related symptoms or complications such as anemia, intussusception and protein-losing enteropathy. Endoscopic resection for this tumor has sometimes been performed for both diagnostic and therapeutic purposes. We recently experienced a case of multiple colonic lymphangomas that arose in the ascending colon of a 46-year-old male patient and these lesions were found during performance of colonoscopy. The final diagnosis was confirmed by a pathologic examination of the specimen that was obtained via endoscopic resection. Follow-up colonoscopy at 1 year after the initial examination showed complete resolution of the previously noted lesions without any specific treatment. We report here on a very rare case of colonic lymphangiomatosis along with a brief review of the relevant literature. (Korean J Gastrointest Endosc 2009;39:172-175)
Key Words: Lymphangioma, Lymphangiomatosis, Large intestine
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