Rare Case of Ovarian Cystic Lymphangioma Managed with Laparoscopy

Abstract

Abstract

Background: Lymphangiomas are rare, usually benign tumors of the lymphatic system. Lymphangiomas may arise in any part of the body. Lymphangioma of the ovary is very rare. Lymphangiomas are usually slow growing, and patients remain asymptomatic for a long time, with the tumor being identified incidentally during histopathological examination after excision. It is advisable to excise the lesion with microscopically clear margins. Frequently, diagnosis becomes difficult because it can be confused with a malignant ovarian mass, especially in postmenopausal woman. Case: A 72-year-old postmenopausal woman had a symptomatic pelvic mass. Imaging studies demonstrated a complex right ovarian cyst. A laparoscopic total hysterectomy with bilateral salpingo-oophorectomy was performed successfully. Conclusions: Cystic lymphangiomas should be included in the differential diagnosis of an ovarian cystic mass, and laparoscopic excision may be the method of treatment. (J GYNECOL SURG 28:436)