International Medical Case Reports Journal (Sep 2019)
Large cystic lymphangioma of pancreas mimicking mucinous neoplasm: case report with a review of histological differential diagnosis
Abstract
Mohammad Hossein Anbardar1,2, Neda Soleimani1,2, Arian Aminzadeh Vahedi1, Seyed Ali Malek-Hosseini2,3 1Department of Pathology, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran; 2Shiraz Transplant Center, Abu Ali Sina Hospital, Shiraz University of Medical Sciences, Shiraz, Iran; 3Department of Surgery, Abualisina Hospital, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, IranCorrespondence: Mohammad Hossein AnbardarDepartment of Pathology, Shiraz Medical School, Shiraz University of Medical Sciences, PO Box 71345-1864, Shiraz, IranTel +98 713 230 1784Fax +98 713 230 1784Email [email protected]: Cystic lymphangioma of the pancreas was first recognized in 1913 as a form of benign cyst. It is extremely rare, accounting for less than 1% of the lymphangiomas.Case report: Herein, we report a case of cystic pancreatic lymphangioma diagnosed in a 51-year-old female patient who was hospitalized for a colicky upper abdominal pain for a month. Radiological imaging revealed a large multiloculated cystic pancreatic mass with enhancing septations. The patient underwent distal pancreatectomy, and the histological examination showed cystic lymphangioma.Conclusion: Although very uncommon, cystic lymphangioma should be placed in the differential diagnosis list of pancreatic cystic lesions, at least about the multi-septated ones in asymptomatic female patients which are discovered incidentally.Keywords: pancreas, lymphangioma, histopathology, cystic lesion, benign
