Cystic lymphangioma of the pancreas

Daltrey, I.R.; Johnson, C. Daniel

doi:10.1136/pgmj.72.851.564

Cited by 29 publications

(27 citation statements)

References 8 publications

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“…The tumour size may vary between 3 and 20 cm in diameter (average 12 cm) [6] . Patients usually present with abdominal pain [5] and an associated palpable abdominal mass [7][8][9] , although an acute abdomen has also been described [10] . Pancreatitis, weight loss, and laboratory abnormalities are not usual disease manifestations [1] .…”

Section: Discussionmentioning

confidence: 99%

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Cystic lymphangioma of the pancreas

Colović¹,

Grubor²,

Micev³

et al. 2008

WJG

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Section: Discussionmentioning

confidence: 99%

“…A complete surgical excision is curative [6,8,15] , with incomplete excision being the only reason for recurrent disease [7] . Depending on the tumour location and size, complete excision may involve a simple marginal tumorectomy [10] or may require larger pancreatic resections with anastomoses.…”

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confidence: 99%

Cystic lymphangioma of the pancreas

Colović¹,

Grubor²,

Micev³

et al. 2008

WJG

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“…2 Lesions involving the soft tissues of the neck and the axilla account for at least 95% of all lymphangiomas, with abdominal lymphangiomas, which mainly occur in the mesentery and retroperitoneum, accounting for less than 1%. 1,3,4 Pancreatic lymphangiomas are extremely rare, but are more common in women than men and have been reported in all age groups. 5 The largest lymphangioma of the pancreas reported to date measured 32 cm.…”

Section: Discussionmentioning

confidence: 99%

“…1 The radiologic imaging of pancreatic lymphangioma commonly shows a multilocular cystic mass caused by dilated lymphatic channels divided by thin septa. Herein, we present a case of cystic lymphangioma of the pancreas with congenital intrahepatic duct dilatation and choledochal cyst.…”

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confidence: 99%

Cystic lymphangioma of the pancreas with congenital intrahepatic duct dilatation and choledochal cyst

Wang

Tang

2010

J of Clinical Ultrasound

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Cystic lymphangioma of the pancreas is an extremely rare benign tumor of lymphatic origin. We report on a 68-year-old woman who had experienced epigastric abdominal distension and nausea for over 1 year. Sonography revealed a cystic-solid mixed mass in the head of pancreas, with intrahepatic and extrahepatic duct dilatation. A diagnosis of cystic lymphangioma with congenital intrahepatic duct dilatation and choledochal cyst was made after excision and pathologic examination. Preoperative diagnosis of cystic lymphangioma of the pancreas is difficult, and carefulsonographic evaluation is required.

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“…5,6 Los diagnósticos diferenciales incluyen al seudoquiste y las neoplasias quísticas pancreáticas 1,3,5 (Tabla 1). La histología de las ML muestra canales linfáticos dilatados con células endoteliales que presentan inmunorreactividad antifactor VIII-R y CD31.…”

Section: Discussionunclassified

Malformación linfática quística del páncreas en un niño de 13 meses

et al. 2012

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Presentación de casos clínicos RESUMENLas malformaciones linfáticas -previamente denominadas "linfangiomas"-son anomalías en el desarrollo normal del sistema linfático, con interrupción de su flujo y formación de cavidades quísticas con linfa. El 95% se localiza en cuello y axila, siendo extremadamente rara la localización pancreática en niños. Las malformaciones linfáticas pancreáticas deben diferenciarse de otras masas quísticas del páncreas. Las localizadas en la cabeza del páncreas requieren, para su exéresis, una duodenopancreatectomía. Comunicamos el caso de un paciente de 13 meses de edad con una malformación linfática quística en la cabeza del páncreas, a quien se le realizó una duodenopancreatectomía. Un drenaje incesante de linfa del lecho tumoral llevó al deterioro inmunitario y a una sepsis incontrolable. Se plantean alternativas terapéuticas no quirúrgicas y se realiza una revisión de la bibliografía. Palabras clave: malformación linfática, higroma quístico, duodenopancreatectomía, páncreas. SUMMARYLymphatic malformations -previously called "lymphangiomas"-emerge due to an abnormal development of the lymphatic channels, with obstruction of the lymph flow and formation of lymphatic cysts. These cystic masses are frequently located in the neck and axillary region (95%). A pancreatic localization is extremely rare in children. Pancreatic lymphatic malformations should be distinguished from other cystic pancreatic masses. For those located in the head of the pancreas, a pancreaticoduodenectomy is proposed. We report the case of a 13-monthold child with a lymphatic malformation on the pancreas head, resected through a pancreaticoduodenectomy. A persistent chylous drainage followed, causing immunitary impairment and an overwhelming sepsis. A non surgical approach to this lesion is discussed, and a literature review is made. INTRODUCCIÓNLas malformaciones linfáticas (ML) -conocidas como "linfangiomas"-son entidades poco frecuentes. En los niños, las ML macroquísticas se localizan preferentemente en cuello (75%) y axila (20%). La localización pancreática se observa en menos del 1% de los casos y es más frecuente en mujeres adultas jóvenes. 1,2Al ser una patología de incidencia extremadamente baja en la edad pediátrica, el objetivo del presente artículo es presentar la evolución de un niño de 13 meses con una ML de cabeza de pán-creas a quien se le realizó una duodenopancreatectomía cefálica (DPC), para luego discutir las distintas modalidades diagnósticas y terapéuticas con las que se cuenta al día de hoy para encarar esta patología. CASO CLÍNICOUn niño de 13 meses, sin antecedentes, consultó por llanto intermitente, leve dolor y distensión abdominal. Una radiografía simple de abdomen mostró una imagen opaca a nivel epigástrico (Figura 1) y la ecografía, una imagen quística centro-abdominal de 65 x 65 x 77 mm (Figura 2). Una tomografía computada con doble contraste (Figura 3), evidenció una masa quística que desplazaba el estómago y la primera porción duodenal hacia adelante. Se interpretó como un tumor qu...

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Cystic lymphangioma of the pancreas

Cited by 29 publications

References 8 publications

Cystic lymphangioma of the pancreas

Cystic lymphangioma of the pancreas

Cystic lymphangioma of the pancreas with congenital intrahepatic duct dilatation and choledochal cyst

Malformación linfática quística del páncreas en un niño de 13 meses

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