Yeungnam Univ J Med.  2019 Sep;36(3):265-268. 10.12701/yujm.2019.00262.

Incidentally found cystic lymphangioma of the adrenal gland in an elderly male cadaver

• Kim HC
• Kang Y
• Maeng YH
• Kim J
• Yoon SP

• KMID: 2460197
• DOI: http://doi.org/10.12701/yujm.2019.00262

Abstract

Adrenal cystic lymphangiomas are extremely rare entities that are often identified incidentally, with less than 60 cases reported to date. We found a protruding ovoid mass consisting of a multiloculated cystic lesion within right adrenal gland in the cadaver of a 75-year-old Korean man. The epithelial cells lining the adrenal cyst were diffusely positive for cluster of differentiation 31 and podoplanin, and negative for pan-cytokeratin. The histopathological diagnosis confirmed a cystic lymphangioma arising from the adrenal gland. Post-mortem findings of the present case are discussed based on the clinicopathological features of adrenal cystic lymphangiomas.

Keyword

Adrenal cyst; Cadaver; Lymphangioma; Male

MeSH Terms

Adrenal Glands*
Aged*
Cadaver*
Diagnosis
Epithelial Cells
Humans
Lymphangioma
Lymphangioma, Cystic*
Male*

Figure

• 

  Fig. 1. Gross findings of the right-sided adrenal cystic mass. (A) The protruding mass (asterisk) shows smooth outer surface. (B) The multilocular cystic structures (asterisks) are surrounded by flattened adrenal parenchyma (arrows) on the section surface.

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  Fig. 2. Microscopic findings of the right-sided adrenal cystic lesion. (A) Multilocular cystic spaces are present. (B) Entrapped adrenal parenchyma (arrows) is present. (C) The cystic wall is lined by a single layer of flattened endothelial cells (arrowheads) (hematoxylin and eosin stain, ×40 [A and B] and ×200 [C]). The lining endothelial cells are positive for cluster of differentiation 31 (D) and podoplanin (E), and negative for pan-cytokeratin (F) (immunohistochemical stain, ×40 [D] and ×100 [E and F]).

Reference

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