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Large cystic lymphangioma of pancreas mimicking mucinous neoplasm: case report with a review of histological differential diagnosis

Authors Anbardar MH, Soleimani N, Aminzadeh Vahedii A, Malek-Hosseini SA

Received 2 June 2019

Accepted for publication 24 August 2019

Published 3 September 2019 Volume 2019:12 Pages 297—301


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Professor Ronald Prineas

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, Iran

Correspondence: Mohammad Hossein Anbardar
Department of Pathology, Shiraz Medical School, Shiraz University of Medical Sciences, PO Box 71345-1864, Shiraz, Iran
Tel +98 713 230 1784
Fax +98 713 230 1784

Purpose: 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

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