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