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Department of Surgical Oncology, MS Ramaiah Medical College and Hospital, Bangalore, India. drkhari@yahoo.com
Cystic lymphangiomas are uncommon tumors that can arise from any part of the body. They can pose a diagnostic and therapeutic challenge. They are more common in infants and children than adults. Broad ligament cystic lymphangioma is extremely rare.
A 70-year-old multiparous woman presented with an abdominal mass of 20-year duration. A large cystic swelling was detected on computed tomography scan that was found to arise from the left adnexal region. This 19 kg lesion was found arising from the broad ligament. It was successfully removed. A detailed pathological study, including immunohistochemistry, was required to diagnose the lesion as a cystic lymphangioma.
Lymphangiomas should be treated with total surgical excision. Broad ligament lymphangiomas are extremely rare but must be considered as a differential diagnosis of cystic lesions in that region.
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