Hussain Ikram, Ang Tiing Leong
Department of Gastroenterology and Hepatology, Changi General Hospital, Simei, Singapore.
Endosc Ultrasound. 2017 Mar-Apr;6(2):136-139. doi: 10.4103/2303-9027.204807.
Pancreatic lymphangiomas are rare, but benign neoplasms. Historically, the diagnoses in various case reports were mostly made after surgical resection. There are emerging data concerning the utility of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) to differentiate it from more sinister pancreatic cystic neoplasms. A confident preoperative diagnosis with EUS-FNA is crucial to avoid unnecessary workup or surgery, especially for small and asymptomatic lesions. Here, we present a rare case of asymptomatic pancreatic lymphangioma which was diagnosed with EUS-FNA. The case highlights that a preoperative diagnosis of pancreatic lymphangioma can be made with certainty.
胰腺淋巴管瘤虽罕见，但为良性肿瘤。从历史上看，各种病例报告中的诊断大多是在手术切除后做出的。关于内镜超声引导下细针穿刺抽吸术（EUS-FNA）在将其与更凶险的胰腺囊性肿瘤鉴别方面的效用，有新的数据出现。通过EUS-FNA进行可靠的术前诊断对于避免不必要的检查或手术至关重要，尤其是对于小的无症状病变。在此，我们报告一例通过EUS-FNA诊断的无症状胰腺淋巴管瘤罕见病例。该病例突出表明胰腺淋巴管瘤可以在术前明确诊断。
