Pancreatic Lymphangioma as a Rare Pancreatic Mass: A Case Report.

Iranian journal of cancer prevention Pub Date : 2016-02-27 eCollection Date: 2016-02-01 DOI:10.17795/ijcp-3505
Abdolhasan Talaiezadeh, Nastaran Ranjbari, Mohammad Bakhtiari
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引用次数: 8

Abstract

Introduction: Cystic lymphangiomas of abdomen has mostly involved mesentery and retro peritoneum that should be considered as a differential diagnosis of abdominal masses. Pancreatic lymphangiomas were extremely rare that should be differentiated from neoplastic pancreatic cysts. Patients have commonly presented with epigastric pain and a relevant palpable epigastric mass.

Case presentation: A 65-year-old lady who has presented with epigastric pain, then during investigations, a cystic tumor which located in the tail of pancreas, has found. Whereas definite diagnosis of tumor with routine procedures was impossible, the tumor has completely resected by distal pancreatectomy and splenectomy. Pathology and IHC was suggestive of benign lymphangioma.

Conclusions: According to this presentation diagnosis of cystic lymphangioma of the tail of pancreas should be considered as a differential diagnosis of pancreatic cystic lesions and complete excision has been the treatment of choice.

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胰腺淋巴管瘤是一种罕见的胰腺肿块:1例报告。
腹腔囊性淋巴管瘤多累及肠系膜和腹膜后缘,应作为腹部肿块的鉴别诊断。胰淋巴管瘤极为罕见,应与肿瘤性胰腺囊肿鉴别。患者通常表现为上腹部疼痛和相应的可触及的上腹部肿块。病例介绍:一位65岁的女士,在检查中发现位于胰腺尾部的囊性肿瘤,她表现为胃脘痛。由于常规手术无法明确诊断肿瘤,肿瘤已被远端胰腺切除术和脾切除术完全切除。病理及免疫组化提示为良性淋巴管瘤。结论:胰腺尾部囊性淋巴管瘤的诊断应作为胰腺囊性病变的鉴别诊断,完全切除已成为治疗的选择。
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