Bhatia Vikram, Rastogi Archana, Saluja Sundeep Singh, Kumar Manoj, Bihari Chhaggan, Kalayarasan Raja, Gupta Naveen L
Medical Hepatology, Institute of Liver and Biliary Sciences (ILBS), New Delhi, India.
JOP. 2011 Sep 9;12(5):473-6.
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).
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.
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.
我们描述了一例胰腺囊性淋巴管瘤病例，该病例通过内镜超声引导下细针穿刺抽吸术（EUS-FNA）进行了术前组织诊断。
一名20岁女性因持续两个月的上腹部疼痛就诊，发现胰腺尾部有一个囊性病变。放射影像学检查无法确定病变的起源器官或性质。在EUS检查中，发现胰腺尾部有一个混合性微大囊性病变，有薄而精细的分隔，囊内容物呈清晰无回声。EUS引导下抽吸显示典型的内皮衬里囊性通道。手术切除后确诊。
对于形态难以特征化的胰腺囊性病变的鉴别诊断，应考虑囊性淋巴管瘤。EUS-FNA有可能对这种良性病变做出阳性诊断。
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