title: Adrenal lymphangioma masquerading as a pancreatic tail cyst.
abstract: Cystic lymphangiomas of the adrenal gland are rare. A 79-year-old female presented in the emergency room with epigastric discomfort, and an immovable mass was palpated in her abdomen upon physical examination. Imaging studies revealed a large cystic lesion in the pancreatic tail. The radiologic impression ruled out the possibility of a mucinous cystic neoplasm, or a pseudocyst in the pancreas. The operative findings demonstrated that the cystic mass originated in the left adrenal gland. A laparoscopic excision of the cystic mass was performed, and immunohistochemistry confirmed that this mass was a lymphangioma of the adrenal gland. Several prior reports have suggested that lymphangioma can mimic renal or splenic cysts. However, lymphangioma cases mimicking pancreatic cysts are very rare.
authors.affiliation: Hae Il Jung, Taesung Ahn, Myoung Won Son, Sang Ho Bae, Moon Soo Lee, Chang Ho Kim, Department of Surgery, Soonchunhyang University Cheonan Hospital, Cheonan 330-721, South Korea.
authors.forename: Hae Il
authors.initials: HI
authors.lastname: Jung
authors.affiliation: Hae Il Jung, Taesung Ahn, Myoung Won Son, Sang Ho Bae, Moon Soo Lee, Chang Ho Kim, Department of Surgery, Soonchunhyang University Cheonan Hospital, Cheonan 330-721, South Korea.
authors.forename: Taesung
authors.initials: T
authors.lastname: Ahn
authors.affiliation: Hae Il Jung, Taesung Ahn, Myoung Won Son, Sang Ho Bae, Moon Soo Lee, Chang Ho Kim, Department of Surgery, Soonchunhyang University Cheonan Hospital, Cheonan 330-721, South Korea.
authors.forename: Myoung Won
authors.initials: MW
authors.lastname: Son
authors.affiliation: Hae Il Jung, Taesung Ahn, Myoung Won Son, Sang Ho Bae, Moon Soo Lee, Chang Ho Kim, Department of Surgery, Soonchunhyang University Cheonan Hospital, Cheonan 330-721, South Korea.
authors.forename: Zisun
authors.initials: Z
authors.lastname: Kim
authors.affiliation: Hae Il Jung, Taesung Ahn, Myoung Won Son, Sang Ho Bae, Moon Soo Lee, Chang Ho Kim, Department of Surgery, Soonchunhyang University Cheonan Hospital, Cheonan 330-721, South Korea.
authors.forename: Sang Ho
authors.initials: SH
authors.lastname: Bae
authors.affiliation: Hae Il Jung, Taesung Ahn, Myoung Won Son, Sang Ho Bae, Moon Soo Lee, Chang Ho Kim, Department of Surgery, Soonchunhyang University Cheonan Hospital, Cheonan 330-721, South Korea.
authors.forename: Moon Soo
authors.initials: MS
authors.lastname: Lee
authors.affiliation: Hae Il Jung, Taesung Ahn, Myoung Won Son, Sang Ho Bae, Moon Soo Lee, Chang Ho Kim, Department of Surgery, Soonchunhyang University Cheonan Hospital, Cheonan 330-721, South Korea.
authors.forename: Chang Ho
authors.initials: CH
authors.lastname: Kim
authors.affiliation: Hae Il Jung, Taesung Ahn, Myoung Won Son, Sang Ho Bae, Moon Soo Lee, Chang Ho Kim, Department of Surgery, Soonchunhyang University Cheonan Hospital, Cheonan 330-721, South Korea.
authors.forename: Hyon Doek
authors.initials: HD
authors.lastname: Cho
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000737:chemistry / Q000473:pathology* / Q000601:surgery; D000368:Aged; D014408:Biomarkers, Tumor / Q000032:analysis; D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D010535:Laparoscopy; D008202:Lymphangioma / Q000737:chemistry / Q000473:pathology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D018297:Neoplasms, Cystic, Mucinous, and Serous / Q000473:pathology*; D010190:Pancreatic Neoplasms / Q000473:pathology*; D010192:Pancreatic Pseudocyst / Q000473:pathology*; D011237:Predictive Value of Tests; D014057:Tomography, X-Ray Computed
chemical_list: D014408:Biomarkers, Tumor
keywords: Adrenal gland; Cyst; Lymphangioma; Mucinous neoplasm; Pancreas