title: Cystic pancreatic lymphangioma. The first report of a preoperative pathological diagnosis by endoscopic ultrasound-guided cyst aspiration.
abstract: BACKGROUND
  We describe a case of cystic lymphangioma of the pancreas in which a preoperative tissue diagnosis was made with endoscopic ultrasound-guided fine needle aspiration (EUS-FNA).
  
  
  METHODS
  A 20-year-old female presented with upper abdominal pain of two months duration and was found to have a cystic lesion in the pancreatic tail. Radiological imaging could not determine the organ of origin or the nature of the lesion. On EUS examination, a mixed micro-macrocystic lesion with thin delicate septae, and clear anechoic contents was found in the pancreatic tail. EUS-guided aspiration demonstrated the typical endothelial lined cystic channels. The diagnosis was confirmed after surgical resection.
  
  
  CONCLUSIONS
  Cystic lymphangioma should be considered in the differential diagnosis of cystic pancreatic lesions in which the morphology is difficult to characterize. EUS-FNA has the potential of rendering a positive diagnosis of this benign entity.
authors: Medical Hepatology, Institute of Liver and Biliary Sciences (ILBS), New Delhi, India. vikrambhatiadr@gmail.com
authors: Vikram
authors: V
authors: Bhatia
authors: Archana
authors: A
authors: Rastogi
authors: Sundeep Singh
authors: SS
authors: Saluja
authors: Manoj
authors: M
authors: Kumar
authors: Chhaggan
authors: C
authors: Bihari
authors: Raja
authors: R
authors: Kalayarasan
authors: Naveen L
authors: NL
authors: Gupta
mesh_terms: D001707:Biopsy, Needle / Q000379:methods; D019411:Clinical Laboratory Techniques; D003937:Diagnosis, Differential; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D019160:Endosonography; D005260:Female; D006801:Humans; D018191:Lymphangioma, Cystic / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D010181:Pancreatic Cyst / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D057234:Preoperative Period; D018084:Ultrasonography, Interventional; D055815:Young Adult