Cavalcanti E1*, Lorusso D2, Coletta S1 and Armentano R1
1Department of Histopathology and Gastroenterology, Histopathology Unit of National Institute of Gastroenterology “S. de Bellis,” Research Hospital, Italy
2Department of Surgery and Gastroenterology, Surgery Unit of National Institute of Gastroenterology “S. de Bellis”,
Research Hospital, Italy
The cystic lymphangiomas are taxonomically framed as benign tumors that originate from congenital malformations of the lymphatic vessels with consequent interruptions of the flow and dilatation of the lumen. These lesions considered non-neoplastic, but hamartomatous. To date, there are few reported cases of abdominal lymphangiomas and in particular pancreatic involvement is rare and represents a diagnostic and therapeutic challenge for the clinician. We herein report of a 68-yearold patient had undergone surgical resection with the diagnosis of cystic neoplasm of the pancreatic head. This case underlines that, in the pre-operative differential diagnosis, cystic lymphangiomas are difficult to be diagnosed from mucinous cystic tumors and the origin of the tumor is also hard to be detected before operation. Consequently this case leads us to reflect that we should combine an accurate diagnostic images and pathological examination to better clarify a preoperative diagnosis so as to avoid a complete pancreaticoduodenectomy for a benign tumor such as lymphangioma.
Cystic lymphangioma; Pancreaticoduodenectomy; Neoplasia
Cavalcanti E, Lorusso D, Coletta S, Armentano R. A Rare Case of Cystic Lymphangioma of the Pancreatic Head. Clin Surg. 2019; 4: 2328.