Talaiezadeh Abdolhasan, Ranjbari Nastaran, Bakhtiari Mohammad
Cancer Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran.
Pathology Department, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran.
Iran J Cancer Prev. 2016 Feb 27;9(1):e3505. doi: 10.17795/ijcp-3505. eCollection 2016 Feb.
Cystic lymphangiomas of abdomen has mostly involved mesentery and retro peritoneum that should be considered as a differential diagnosis of abdominal masses. Pancreatic lymphangiomas were extremely rare that should be differentiated from neoplastic pancreatic cysts. Patients have commonly presented with epigastric pain and a relevant palpable epigastric mass.
A 65-year-old lady who has presented with epigastric pain, then during investigations, a cystic tumor which located in the tail of pancreas, has found. Whereas definite diagnosis of tumor with routine procedures was impossible, the tumor has completely resected by distal pancreatectomy and splenectomy. Pathology and IHC was suggestive of benign lymphangioma.
According to this presentation diagnosis of cystic lymphangioma of the tail of pancreas should be considered as a differential diagnosis of pancreatic cystic lesions and complete excision has been the treatment of choice.
腹部囊性淋巴管瘤大多累及肠系膜和腹膜后，应将其视为腹部肿块的鉴别诊断之一。胰腺淋巴管瘤极为罕见，应与胰腺肿瘤性囊肿相鉴别。患者通常表现为上腹部疼痛和可触及的上腹部肿块。
一名65岁女性因上腹部疼痛就诊，在检查过程中发现胰腺尾部有一个囊性肿瘤。由于无法通过常规程序明确肿瘤诊断，遂行远端胰腺切除术和脾切除术将肿瘤完整切除。病理及免疫组化结果提示为良性淋巴管瘤。
根据本病例，胰腺尾部囊性淋巴管瘤应被视为胰腺囊性病变的鉴别诊断之一，完整切除是首选治疗方法。
