Affiliation:
1. Endoscopy Unit of the Gastroenterology and Hepatology Department, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology (HUST), Wuhan, China
Abstract
Introduction: Pancreatic cystic lymphangioma (PCL) is an extremely rare benign tumor of lymphatic origin. Traditionally, it is diagnosed at surgery performed on a patient with a retroperitoneal cyst of unclear etiology. However, recently a few single case reports showed PCL was successfully diagnosed by endoscopic ultrasound with fine-needle aspiration (EUS-FNA).
Case Report: We present a new case of PCL in an 11-year-old boy who came to our hospital for swelling of the body. A contrast-enhanced computed tomography scan revealed a 7.7×4.5 cm cystic lesion involving head and neck of the pancreas. EUS-FNA was subsequently performed and diagnosis of PCL was made based on result of cytological examination and measurement of aspirate.
Conclusion: In agreement with previous reports, we show that EUS-FNA confirmed the cystic lesion in pancreas and further provided the gross, biochemical and cytological features supporting accurate diagnosis of PCL.
Publisher
Edorium Journals Pvt. Ltd.
Reference20 articles.
1. Fonseca R, Pitman MB. Lymphangioma of the pancreas: A multimodal approach to pre-operative diagnosis. Cytopathology 2013 Jun;24(3):172–6.
2. Coe AW, Evans J, Conway J. Pancreas cystic lymphangioma diagnosed with EUS-FNA. JOP 2012 May 10;13(3):282–4.
3. Dries AM, McDermott J. Diagnosis of cystic lymphangioma of the pancreas with endoscopic ultrasound-guided fine needle aspiration. Am J Gastroenterol 2008 Apr;103(4):1049–50.
4. Jathal A, Arsenescu R, Crowe G, Movva R, Shamoun DK. Diagnosis of pancreatic cystic lymphangioma with EUS-guided FNA: Report of a case. Gastrointest Endosc 2005 Jun;61(7):920–2.
5. Bhatia V, Rastogi A, Saluja SS, et al. Cystic pancreatic lymphangioma. The first report of a preoperative pathological diagnosis by endoscopic ultrasound-guided cyst aspiration. JOP 2011 Sep 9;12(5):473–6.