title: A giant hemolymphangioma of the pancreas in a 20-year-old girl: a report of one case and review of the literature.
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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Surgical Oncology, the Second Affiliated Hospital, College of Medicine, Zhejinag University, Hangzhou Zhejiang 310009, PR China. sunlifeng@medmail.com.cn
authors.forename: Li-Feng
authors.initials: LF
authors.lastname: Sun
authors.forename: Hui-Lin
authors.initials: HL
authors.lastname: Ye
authors.forename: Qi-Yan
authors.initials: QY
authors.lastname: Zhou
authors.forename: Ke-Feng
authors.initials: KF
authors.lastname: Ding
authors.forename: Pei-Lin
authors.initials: PL
authors.lastname: Qiu
authors.forename: Yong-Chuan
authors.initials: YC
authors.lastname: Deng
authors.forename: Shu-Zhan
authors.initials: SZ
authors.lastname: Zhang
authors.forename: Shu
authors.initials: S
authors.lastname: Zheng
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008202:Lymphangioma / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery