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Massive ovarian edema: a nonneoplastic pelvic mass of young women.

Two cases of massive ovarian edema are reported in addition to the eight previous cases published in the English literature. The predominance of the right-sided involvement and the histopathological characteristics of this lesion support the hypothesis that the basic pathogenetic mechanism is an impairment of the venous and lymphatic drainage of the ovary, triggered by recurrent partial torsion of the mesovarium. This nonneoplastic lesion should be recognized as a distinct entity in ovarian disease and treated conservatively.

Adolescent↗

Angiosarcoma complicating generalized lymphangiectasia.

Multifocal angiosarcoma of the lower extremities developed in a 23-year-old patient with generalized lymphangiectasia. Eighteen cases of angiosarcoma complicating congenital or idiopathic lymphedema have previously been reported. The ages of the patients ranged from 13 to 65 years, with an average age of 40 years. There was an equal sex ratio. The extremities were the principal sites of involvement. No conclusion can be made regarding blood vessel or lymphatic origin of these tumors.

Adult↗

[Intraosseous lymphangiectases].

These are osteolytic type bone lesions conditioned to congenital malformations of the lymphatic system. Most cases become evident during adolescence. At the clinical study, extraosseous lymphatic changes may be found and frequently there is chylous pleural effusion caused by trauma, wounds, surgery or congenital anomalies of the thoracic duct. Pathologic fractures may show the anomaly. Lymphangiectatic lesions studied at the X-rays, especially if they are multiple and affect long bones, flat bones and skull, may show the lesion. Lymphography is used as a clue diagnostic procedure and shows dilated engorged lymph vessels with stagnation of the contrast medium at the cistern of Pecquet. The diagnosis must be clinical and radiological. The prognosis varies according to the extension of the process. Diets rich in proteins are given in the treatment and fractures are managed by orthopedic means.

Biopsy↗