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A giant hemolymphangioma of the pancreas in a 20-year-old girl: a report of one case and review of the literature.

Sun LF, Ye HL, Zhou QY, Ding KF, Qiu PL, Deng YC, Zhang SZ, Zheng S - World J Surg Oncol (2009)

Bottom Line: The patient had a complication of chylous leakage, which was successfully managed.The patient is alive and well, after 26 months of follow-up, with no complaints or recurrence.The risk of recurrence seems very low.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgical Oncology, the Second Affiliated Hospital, College of Medicine, Zhejinag University, Hangzhou Zhejiang 310009, PR China. sunlifeng@medmail.com.cn

ABSTRACT

Background: Hemolymphangioma of the pancreas is a very rare benign tumor. There were only six reports of this disease until December 2008. Herein, we report a case of giant hemolymphangioma of the pancreas in a 20-year-old girl.

Case presentation: We describe a 20-year-old girl who presented with a mass in abdominal cavity and epigastric discomfort about a week. Physical examination showed a great abdominal mass. Abdominal computed tomography showed extrinsic duodenal compression due to a large retroperitoneal tumor possibly arising from pancreas. The tumor enucleation was performed and a diagnosis of hemolymphangioma of the pancreas was made. The patient had a complication of chylous leakage, which was successfully managed. The patient is alive and well, after 26 months of follow-up, with no complaints or recurrence.

Conclusion: From this case and literature, we can conclude that hemolymphangioma of the pancreas in adult is a rare benign tumor, and accurate diagnosis can not be preoperatively established. Tumor resection should be performed whenever possible. The risk of recurrence seems very low.

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Low-power review showing a soft tissue mass consists of lymphatic and blood vessels with polycystic spaces (H & E ×100).
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Figure 2: Low-power review showing a soft tissue mass consists of lymphatic and blood vessels with polycystic spaces (H & E ×100).

Mentions: Macroscopically, the mass measured 18 × 16 × 12.5 cm. It was nodular, and soft in consistency. The tumors were multiloculated cystic masses full of bloody fluid. Microscopically(Figure 2), the tumor showed a soft tissue mass consisted of lymphatic and blood vessels with polycystic spaces. There was infiltration of the stroma by lymphocytes. The definitive histological diagnosis was hemolymphangioma of the pancreas.


A giant hemolymphangioma of the pancreas in a 20-year-old girl: a report of one case and review of the literature.

Sun LF, Ye HL, Zhou QY, Ding KF, Qiu PL, Deng YC, Zhang SZ, Zheng S - World J Surg Oncol (2009)

Low-power review showing a soft tissue mass consists of lymphatic and blood vessels with polycystic spaces (H & E ×100).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2662842&req=5

Figure 2: Low-power review showing a soft tissue mass consists of lymphatic and blood vessels with polycystic spaces (H & E ×100).
Mentions: Macroscopically, the mass measured 18 × 16 × 12.5 cm. It was nodular, and soft in consistency. The tumors were multiloculated cystic masses full of bloody fluid. Microscopically(Figure 2), the tumor showed a soft tissue mass consisted of lymphatic and blood vessels with polycystic spaces. There was infiltration of the stroma by lymphocytes. The definitive histological diagnosis was hemolymphangioma of the pancreas.

Bottom Line: The patient had a complication of chylous leakage, which was successfully managed.The patient is alive and well, after 26 months of follow-up, with no complaints or recurrence.The risk of recurrence seems very low.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgical Oncology, the Second Affiliated Hospital, College of Medicine, Zhejinag University, Hangzhou Zhejiang 310009, PR China. sunlifeng@medmail.com.cn

ABSTRACT

Background: Hemolymphangioma of the pancreas is a very rare benign tumor. There were only six reports of this disease until December 2008. Herein, we report a case of giant hemolymphangioma of the pancreas in a 20-year-old girl.

Case presentation: We describe a 20-year-old girl who presented with a mass in abdominal cavity and epigastric discomfort about a week. Physical examination showed a great abdominal mass. Abdominal computed tomography showed extrinsic duodenal compression due to a large retroperitoneal tumor possibly arising from pancreas. The tumor enucleation was performed and a diagnosis of hemolymphangioma of the pancreas was made. The patient had a complication of chylous leakage, which was successfully managed. The patient is alive and well, after 26 months of follow-up, with no complaints or recurrence.

Conclusion: From this case and literature, we can conclude that hemolymphangioma of the pancreas in adult is a rare benign tumor, and accurate diagnosis can not be preoperatively established. Tumor resection should be performed whenever possible. The risk of recurrence seems very low.

Show MeSH
Related in: MedlinePlus