Abstract
Abdominal lymphangiomas are uncommon angiomatous tumor occurring mainly in
childhood. This is a retrospective clinicopathologic study of 17 cases of
abdominal lymphangioma. The patients included are five children and 12 adults,
with a mean age at initial presentation of 30.7 years (age ranges 3-63). The
locations of the tumors were mesentery (5), retroperitoneum (4), colon (3),
omentum (3), mesocolon (1) and gallbladder (1). Infiltrative growth was more
common pattern than entirely circumscribed pattern. Masses were mostly
multilocular cysts and contained chyle or serous fluid. On immunohistochemical
staining, 16 cases were reactive for either CD31 or factor VIII-related antigen.
These fact would suggest that intra-abdominal lymphangiomas simulate the
immunohistochemical features of collecting lymphatics. Follow up was possible in
12 cases for 3-50 months (mean 19 months) and only one patient showed local
recurrence. Although abdominal lymphangiomas are rare in adulthood and correct
preoperative diagnosis is difficult, awareness of such a possibility in
adulthood will contribute to make a correct preoperative diagnosis.