Diagnosis of cystic lymphangioma of the colon by endoscopic ultrasound: Biopsy is not needed!
Cystic lymphangioma of the colon (CLC) is a rare benign lesion that is usually asymptomatic and found incidentally during colonoscopy. Limitations in the conventional noninvasive diagnostic techniques have led to surgical resection of these lesions for diagnostic confirmation. Classic endoscopic ultrasound (EUS) findings of colonic cystic lymphangioma are submucosal anechoic cystic spaces with septations, intactmuscularis propria, and no solid component. Patients who are asymptomatic with lesions having classic appearance as cystic lymphangioma with EUS can be observed without any intervention. We herein report a case of cystic lymphangioma of distal transverse colon in an asymptomatic patient diagnosed noninvasively using 20-MHz miniprobe EUS and managed conservatively without any surgical intervention.
Department of Gastroenterology, Hepatology and Nutrition, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Manoop S
MS
Bhutani
Department of Gastroenterology, Hepatology and Nutrition, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Srinadh
S
Annangi
Department of Gastroenterology, Hepatology and Nutrition, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Pramoda
P
Koduru
Department of Medicine, Mt. Sinai Saint Luke's Hospital, New York City, New York, USA.
Aakash
A
Aggarwal
Department of Gastroenterology and Rheumatology, Fukushima Medical University School of Medicine, Hikarogaoka, Fukushima, Japan.
Rei
R
Suzuki
Colon; cystic lymphangioma; endoscopic ultrasound (EUS)