1. Adrenal lymphangioma masquerading as a pancreatic tail cyst.
- Author
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Jung HI, Ahn T, Son MW, Kim Z, Bae SH, Lee MS, Kim CH, and Cho HD
- Subjects
- Adrenal Gland Neoplasms chemistry, Adrenal Gland Neoplasms surgery, Aged, Biomarkers, Tumor analysis, Biopsy, Diagnosis, Differential, Female, Humans, Immunohistochemistry, Laparoscopy, Lymphangioma chemistry, Lymphangioma surgery, Magnetic Resonance Imaging, Predictive Value of Tests, Tomography, X-Ray Computed, Adrenal Gland Neoplasms pathology, Lymphangioma pathology, Neoplasms, Cystic, Mucinous, and Serous pathology, Pancreatic Neoplasms pathology, Pancreatic Pseudocyst pathology
- Abstract
Cystic lymphangiomas of the adrenal gland are rare. A 79-year-old female presented in the emergency room with epigastric discomfort, and an immovable mass was palpated in her abdomen upon physical examination. Imaging studies revealed a large cystic lesion in the pancreatic tail. The radiologic impression ruled out the possibility of a mucinous cystic neoplasm, or a pseudocyst in the pancreas. The operative findings demonstrated that the cystic mass originated in the left adrenal gland. A laparoscopic excision of the cystic mass was performed, and immunohistochemistry confirmed that this mass was a lymphangioma of the adrenal gland. Several prior reports have suggested that lymphangioma can mimic renal or splenic cysts. However, lymphangioma cases mimicking pancreatic cysts are very rare.
- Published
- 2014
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