Giant Cystic Lymphangioma of Pancreas

Lyngdoh, Toijam Soni; Konsam, Reena; Bipin, Th.; Marak, Bethel

doi:10.1111/j.1445-2197.2008.04615.x

Cited by 20 publications

(18 citation statements)

References 4 publications

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“…Abdominal pain and palpable mass seem to be the most common symptoms [2]. Jaundice was reported in only one case [4]. Our patient presented with postprandial abdominal discomfort and radiating back pain.…”

Section: Discussionmentioning

confidence: 82%

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Cystic lymphangioma of the pancreas mimicking pancreatic pseudocyst

et al. 2011

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Lymphangiomas are rare congenital benign tumors arising from the lymphatic system, and are mostly encountered in the neck and axillary regions of pediatric patients (95%). Lymphangioma of the pancreas is extremely rare accounting for less than 1% of these tumors. We report here on a case of pancreatic cystic lymphangioma. A 54-year-old woman presented with intermittent postprandial abdominal discomfort and radiating back pain. Abdominal computed tomography scan revealed 8 × 6.5 cm hypodense cystic mass arising from the tail of the pancreas without septa or solid component. The initial impression was a pancreatic pseudocyst. The patient underwent distal pancreatectomy with splenectomy. The histopathologic and immunohistochemical study helped make the diagnosis of a pancreatic cystic lymphangioma. Herein, we report a case of pancreatic cystic lymphangioma mimicking pancreatic pseudocyst and review the relevant medical literature.

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Section: Discussionmentioning

confidence: 82%

“…Cystic lymphangioma of the pancreas is usually a large lesion with an average diameter of 12.3 cm [4]. It can be seen in any age group but more frequent in females and is often located in the body and tail of the pancreas [2].…”

Section: Discussionmentioning

confidence: 99%

Cystic lymphangioma of the pancreas mimicking pancreatic pseudocyst

et al. 2011

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“…5 The largest lymphangioma of the pancreas reported to date measured 32 cm. 6 The clinical presentation is variable and nonspecific, according to the size and location of the lesion, and can include abdominal pain, nausea, vomiting, a palpable mass, and other symptoms. No specific or significant laboratory abnormalities have been reported.…”

Section: Discussionmentioning

confidence: 99%

“…Although sonography has a high diagnostic sensitivity, it cannot confirm the diagnosis. We reviewed the diagnostic features of 13 previous cases, 1,5,6,[8][9][10][11][12][13][14][15][16][17] together with the present case. The patients included 12 females and 2 males, ages 14-68 years (mean age, 35.2 years).…”

Section: Discussionmentioning

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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“…They have characteristic endothelial immunoreactivity for endothelial markers CD31, CD34, D2-40, and von Willebrand factor antigen (Factor VIII:R antigen) 2 3 7 8. The first reported case of pancreatic lymphangioma was published by Koch in 1913,9 and a recent review reveals only 70 cases of pancreatic lymphangioma in the literature 10. Because pancreatic and peripancreatic lymphangiomas are very rare and cystic in nature, preoperative diagnosis is difficult.…”

Section: Introductionmentioning

confidence: 99%

Peripancreatic cystic lymphangioma diagnosed by endoscopic ultrasound/fine-needle aspiration: a rare mesenchymal tumour

et al. 2013

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SUMMARYA 73-year-old man presented with a 5-month history of intermittent nausea, vomiting, central abdominal discomfort and a 17-pound weight loss over the past year. Laboratory testing, including a complete blood count with differential, liver function testing, amylase and lipase studies were normal. A CT scan showed a bilobed cystic lesion inferior to the body of the pancreas. An endoscopic ultrasound revealed a 5.3×3.9 cm, anechoic, bilobed cystic lesion, extrinsic to the body of the pancreas with a 1-2 mm septation and a normal pancreas. Fineneedle aspiration revealed a milky-white aspirate with negative cytology. Laboratory assessment of the cystic aspirant revealed carcinoembryonic antigen 1.7 ng/mL, amylase 148 units/L, cholesterol 300 mg/dL, and carbohydrate antigen 19-9 3 units/mL. He underwent resection of the mass, with the histopathology confirming a diagnosis of peripancreatic lymphangioma. He did well after the surgery with interval resolution of his symptoms. BACKGROUND

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Giant Cystic Lymphangioma of Pancreas

Cited by 20 publications

References 4 publications

Cystic lymphangioma of the pancreas mimicking pancreatic pseudocyst

Cystic lymphangioma of the pancreas mimicking pancreatic pseudocyst

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

Peripancreatic cystic lymphangioma diagnosed by endoscopic ultrasound/fine-needle aspiration: a rare mesenchymal tumour

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