Cystic lymphangioma in the submandibular triangle in the adult

성인의 악하부에 발생한 낭성 림프관종

  • Kim Eun-Kyung (Department of Oral and Maxillofacial Radiology, School of Dentistry, Dankook University) ;
  • Han Won-Jeong (Department of Oral and Maxillofacial Radiology, School of Dentistry, Dankook University) ;
  • Kim Sang-Joon (Department of Diagnostic Radiology, School of Medicine, Dankook University)
  • 김은경 (단국대학교 치과대학 구강악안면방사선학교실) ;
  • 한원정 (단국대학교 치과대학 구강악안면방사선학교실) ;
  • 김상준 (단국대학교 의과대학 진단방사선학교실)
  • Published : 2001.09.01

Abstract

Cystic lymphangioma is an uncommon benign developmental tumor of the lymphatic system, seen rarely in adults. A 23-year-old man visited DKUDH complaining of the painless swelling in the right submandibular area. It was reported that swelling had increased since 5 months ago. Clinically, fltriangle uctuant and mobile mass was palpated at the right submandibular area. CT scan showed a large, well-defined, homogenous low density mass, measuring 5.0 × 2.5 × 4.0 cm. T1W MRI scan demonstrated a large, multiseptated homogenous low signal mass with septum and rim enhancement. Proton-density and T2W MRI scan showed mass of high signal intensity. MRI scan was able to delineate better the enhanced multi septation and extent of the lesion. Histopathologically, a lobulated cystic mass lined by a layer of flattened endothelium was observed.

Keywords