Peripancreatic cystic lymphangioma diagnosed by endoscopic ultrasound/fine-needle aspiration: a rare mesenchymal tumour
| Autor: | Rafiullah, Adedayo A. Onitilo, Sabo Tanimu, Jeffrey M. Resnick |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Male
Endoscopic ultrasound medicine.medical_specialty Pathology Biopsy Fine-Needle Article Endosonography Diagnosis Differential Lymphangioma Biomarkers Tumor Humans Medicine Aged medicine.diagnostic_test business.industry Complete blood count General Medicine medicine.disease Pancreatic Neoplasms medicine.anatomical_structure Fine-needle aspiration Vomiting Histopathology Lymphangioma Cystic Liver function Radiology medicine.symptom business Pancreas |
| Zdroj: | Case Reports. 2013:bcr2013200210-bcr2013200210 |
| ISSN: | 1757-790X |
| Popis: | A 73-year-old man presented with a 5-month history of intermittent nausea, vomiting, central abdominal discomfort and a 17-pound weight loss over the past year. Laboratory testing, including a complete blood count with differential, liver function testing, amylase and lipase studies were normal. A CT scan showed a bilobed cystic lesion inferior to the body of the pancreas. An endoscopic ultrasound revealed a 5.3×3.9 cm, anechoic, bilobed cystic lesion, extrinsic to the body of the pancreas with a 1-2 mm septation and a normal pancreas. Fine-needle aspiration revealed a milky-white aspirate with negative cytology. Laboratory assessment of the cystic aspirant revealed carcinoembryonic antigen 1.7 ng/mL, amylase 148 units/L, cholesterol 300 mg/dL, and carbohydrate antigen 19-9 3 units/mL. He underwent resection of the mass, with the histopathology confirming a diagnosis of peripancreatic lymphangioma. He did well after the surgery with interval resolution of his symptoms. |
| Databáze: | OpenAIRE |
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