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A patient with cystic lymphangioma in pancreas.

Mousavi SR, Moradi A, Sobhiyeh MR, Jabbehdari S, Azimi B, Lotfollahzadeh S, Sadeghi N, Jafarian N - Gastroenterol Hepatol Bed Bench (2013)

Bottom Line: Patients usually present with epigastric pain and an associated palpable epigastric mass.At surgery the tumor was completely excised, with preservation of pancreatic duct.Histology and immunohistochemistry confirmed cystic lymphangioma of the pancreas.

View Article: PubMed Central - PubMed

Affiliation: Department of General and vascular surgery, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

ABSTRACT
Cystic lymphangioma of the pancreas is extremely rare, accounting for less than 1% of pancreatic tumors. Though congenital, it can affect all age groups. Cystic lympangioma occurs more frequently in females. Patients usually present with epigastric pain and an associated palpable epigastric mass. Complete excision is curative, even though, depending on the tumor location, surgery may be simple or involve extensive pancreatic resection and anastomoses. In this case report, we discuss a 63-year old patient who presented with epigastric pain and on investigation was found to have pancreatic head cystic lymphangioma. At surgery the tumor was completely excised, with preservation of pancreatic duct. Histology and immunohistochemistry confirmed cystic lymphangioma of the pancreas. This case highlights that a diagnosis of cystic lymphangioma of the pancreas should be taken into consideration as a differential diagnosis of pancreatic cystic lesions.

No MeSH data available.


Related in: MedlinePlus

Histological findings showing cystic wall contains irregular smooth muscle fascicles, adipocystes and mature lymphocytes
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Figure 0004: Histological findings showing cystic wall contains irregular smooth muscle fascicles, adipocystes and mature lymphocytes

Mentions: On gross sectioning, the cyst had a honeycomb appearance with single space filled with murky haemorrhagic yellowish fluid. Histology sections showed cystic lesions of variable size, separated by fibroconnective septa, containing irregular smooth muscle fascicles, adipocytes and mature lymphocytes (Fig 4).


A patient with cystic lymphangioma in pancreas.

Mousavi SR, Moradi A, Sobhiyeh MR, Jabbehdari S, Azimi B, Lotfollahzadeh S, Sadeghi N, Jafarian N - Gastroenterol Hepatol Bed Bench (2013)

Histological findings showing cystic wall contains irregular smooth muscle fascicles, adipocystes and mature lymphocytes
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4017508&req=5

Figure 0004: Histological findings showing cystic wall contains irregular smooth muscle fascicles, adipocystes and mature lymphocytes
Mentions: On gross sectioning, the cyst had a honeycomb appearance with single space filled with murky haemorrhagic yellowish fluid. Histology sections showed cystic lesions of variable size, separated by fibroconnective septa, containing irregular smooth muscle fascicles, adipocytes and mature lymphocytes (Fig 4).

Bottom Line: Patients usually present with epigastric pain and an associated palpable epigastric mass.At surgery the tumor was completely excised, with preservation of pancreatic duct.Histology and immunohistochemistry confirmed cystic lymphangioma of the pancreas.

View Article: PubMed Central - PubMed

Affiliation: Department of General and vascular surgery, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

ABSTRACT
Cystic lymphangioma of the pancreas is extremely rare, accounting for less than 1% of pancreatic tumors. Though congenital, it can affect all age groups. Cystic lympangioma occurs more frequently in females. Patients usually present with epigastric pain and an associated palpable epigastric mass. Complete excision is curative, even though, depending on the tumor location, surgery may be simple or involve extensive pancreatic resection and anastomoses. In this case report, we discuss a 63-year old patient who presented with epigastric pain and on investigation was found to have pancreatic head cystic lymphangioma. At surgery the tumor was completely excised, with preservation of pancreatic duct. Histology and immunohistochemistry confirmed cystic lymphangioma of the pancreas. This case highlights that a diagnosis of cystic lymphangioma of the pancreas should be taken into consideration as a differential diagnosis of pancreatic cystic lesions.

No MeSH data available.


Related in: MedlinePlus