CystiC Pancreatic Lymphangioma

Abstract

Lymphangioma of the pancreas is a rare benign tumor of lymphatic origin. Retroperitoneal lymphangiomas account for 1% of all lymphangiomas. Herein, we report a case of cystic pancreatic lymphangioma diagnosed in 34 year-old female patient who was hospitalized for a slight pain in the epigastrium and vomiting. Radiological imaging revealed a large multiloculated cystic abdominal mass with enhancing septations involving the upper retroperitoneum. During the laparoscopic surgery, a well circumscribed polycystic tumor was completely excised preserving the pancreatic duct. The patient made a complete recovery and is disease-free 12 months postoperatively.

Pancreatic Lymphangioma: A Rare Case Report

“…Pankreatik lenfanjiyomlar konjenital malformasyon nedeniyle gelişen lenfanjiyektazi ve lenfatik akım obstrüksiyonu ile karakterize, yavaş büyüme paterni gösteren tümörlerdir (6)(7)(8)(9). Genellikle kitlenin bası etkisi, bulantı, kusma ve abdominal ağrı gibi nonspesifik semptomlarla klinik gösterebilir.…”

“…ince iğne aspirasyon biyopsisi tümör hücreleri ve/veya atipik lenfositlerin görülmesine, sıvıdan tümör markerları ve amilaz ölçümüne olanak sağlar (10)(11)(12). Kesin tanı cerrahi sonrası histopatolojik inceleme ile konur (7)(8)(9)(10)(11)(12).…”

Pancreatic Lymphangioma: A Rare Case Report

“…İnce İğne Aspirasyon Biyopsisi (İİAB) tümör hücreleri ve/veya atipik lenfositlerin görülmesine, sıvıdan tümör markerları ve amilaz ölçümüne olanak sağlar (10)(11)(12). Kesin tanı cerrahi sonrası histopatolojik inceleme ile konur (7)(8)(9)(10)(11)(12).…”

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

“…Partial resection of pancreatic lymphangioma is associated with a recurrence rate approaching 50% with a mean follow-up period of 2 years 38. Laparoscopic excision should be considered in uncomplicated cystic lymphangiomas 39. There have been no reported cases of malignant transformation of pancreatic/peripancreatic lymphangiomas, so a conservative approach and expectant follow-up remains the best plan for asymptomatic patients 40…”