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Review
. 2009 Mar 18:7:31.
doi: 10.1186/1477-7819-7-31.

A giant hemolymphangioma of the pancreas in a 20-year-old girl: a report of one case and review of the literature

Li-Feng Sun  1 , Hui-Lin Ye, Qi-Yan Zhou, Ke-Feng Ding, Pei-Lin Qiu, Yong-Chuan Deng, Shu-Zhan Zhang, Shu Zheng
Affiliations
Review

A giant hemolymphangioma of the pancreas in a 20-year-old girl: a report of one case and review of the literature

Li-Feng Sun et al. World J Surg Oncol. .

Abstract

Background: Hemolymphangioma of the pancreas is a very rare benign tumor. There were only six reports of this disease until December 2008. Herein, we report a case of giant hemolymphangioma of the pancreas in a 20-year-old girl.

Case presentation: We describe a 20-year-old girl who presented with a mass in abdominal cavity and epigastric discomfort about a week. Physical examination showed a great abdominal mass. Abdominal computed tomography showed extrinsic duodenal compression due to a large retroperitoneal tumor possibly arising from pancreas. The tumor enucleation was performed and a diagnosis of hemolymphangioma of the pancreas was made. The patient had a complication of chylous leakage, which was successfully managed. The patient is alive and well, after 26 months of follow-up, with no complaints or recurrence.

Conclusion: From this case and literature, we can conclude that hemolymphangioma of the pancreas in adult is a rare benign tumor, and accurate diagnosis can not be preoperatively established. Tumor resection should be performed whenever possible. The risk of recurrence seems very low.

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Figures

Figure 1
Figure 1
Abdominal Computed tomography demonstrating a large tumour with partial blood flow(arrow) in abdominal cavity.
Figure 2
Figure 2
Low-power review showing a soft tissue mass consists of lymphatic and blood vessels with polycystic spaces (H & E ×100).
See this image and copyright information in PMC

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