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Radiologic—Pathologic Conference of Keller Army Community Hospital at West Point, the United States Military Academy

Calcified Lymphangioma of the Gonadal Vein

Liem T. Bui-Mansfield1,2, Keith J. Kaplan3 and Charles Hollcraft1

1 Department of Radiology, Keller Army Community Hospital, West Point, NY 10996-1197.
2 Department of Radiology, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157-1088.
3 Department of Pathology, Walter Reed Army Medical Center, 7100 Georgia Ave. N.W., Washington, DC 20307-5001.



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  		Fig. 1A. —64-year-old woman with calcified lymphangioma of left gonadal vein. Contrast-enhanced CT scan shows nonenhancing soft-tissue mass (arrow) with phlebolithlike calcifications anterior to left psoas muscle and displacing left ureter medially.

 


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  		Fig. 1B. —64-year-old woman with calcified lymphangioma of left gonadal vein. Photograph of surgical specimen consists of fairly well circumscribed fatty-appearing mass with multiple hemorrhagic, compressible, spongelike lesions (arrow). Vascular lumen is present.

 


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  		Fig. 1C. —64-year-old woman with calcified lymphangioma of left gonadal vein. Photomicrograph of surgical specimen shows multiple cystic spaces (C) lined by attenuated endothelium resembling normal lymphatics. Large vessel with phlebolith (P) is present. (H and E, x4)

 


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  		Fig. 1D. —64-year-old woman with calcified lymphangioma of left gonadal vein. Photomicrograph of surgical specimen shows cystic spaces (C) lined by attenuated endothelium resembling normal lymphatics with dense lymphoid aggregates (arrow) and engorged vascular spaces (V). (H and E, x10)

 

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