A patient with cystic lymphangioma in pancreas.
Cystic lymphangioma of the pancreas is extremely rare, accounting for less than 1% of pancreatic tumors. Though congenital, it can affect all age groups. Cystic lympangioma occurs more frequently in females. Patients usually present with epigastric pain and an associated palpable epigastric mass. Complete excision is curative, even though, depending on the tumor location, surgery may be simple or involve extensive pancreatic resection and anastomoses. In this case report, we discuss a 63-year old patient who presented with epigastric pain and on investigation was found to have pancreatic head cystic lymphangioma. At surgery the tumor was completely excised, with preservation of pancreatic duct. Histology and immunohistochemistry confirmed cystic lymphangioma of the pancreas. This case highlights that a diagnosis of cystic lymphangioma of the pancreas should be taken into consideration as a differential diagnosis of pancreatic cystic lesions.
Department of General and vascular surgery, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Seyed Reza
SR
Mousavi
Department of Pathology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Afshin
A
Moradi
Department of General and vascular surgery, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mohammad Reza
MR
Sobhiyeh
Students' Research Committee, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Sayena
S
Jabbehdari
Department of General and vascular surgery, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Behzad
B
Azimi
Department of General and vascular surgery, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Saran
S
Lotfollahzadeh
Department of Pathology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Nazli
N
Sadeghi
Students' Research Committee, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Nafisseh
N
Jafarian
CT scan; Lymphangioma; Pancreas