Adult pancreatic hemangioma: A case report

Vascular neoplasms of the pancreas are extremely rare and usually manifest as symptomatic, cystic lesions. This study presents a case that includes the clinicopathologic information used to discriminate pancreatic hemangioma from other types of cystic lesion of the pancreas. A 40-year-old female vis...

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Veröffentlicht in:Oncology letters 2014-08, Vol.8 (2), p.642-644
Hauptverfasser: NAITO, YOSHIKI, NISHIDA, NAOYO, NAKAMURA, YASUHIRO, TORII, YOSHIKUNI, YOSHIKAI, HIROSHI, KAWANO, HIROSHI, AKIYAMA, TETSUJI, SAKAI, TERUFUMI, TANIWAKI, SATORU, TANAKA, MASAYA, KURODA, HISASHI, HIGAKI, KOICHI
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container_end_page 644
container_issue 2
container_start_page 642
container_title Oncology letters
container_volume 8
creator NAITO, YOSHIKI
NISHIDA, NAOYO
NAKAMURA, YASUHIRO
TORII, YOSHIKUNI
YOSHIKAI, HIROSHI
KAWANO, HIROSHI
AKIYAMA, TETSUJI
SAKAI, TERUFUMI
TANIWAKI, SATORU
TANAKA, MASAYA
KURODA, HISASHI
HIGAKI, KOICHI
description Vascular neoplasms of the pancreas are extremely rare and usually manifest as symptomatic, cystic lesions. This study presents a case that includes the clinicopathologic information used to discriminate pancreatic hemangioma from other types of cystic lesion of the pancreas. A 40-year-old female visited hospital with a chief complaint of abdominal pain. The serum CEA and CA19-9 levels of the patient were within the normal limits. An abdominal computed tomography scan and magnetic resonance imaging showed a 100-mm mass lesion in the body and tail of the pancreas, and the tumor extended toward the retroperitoneum and surrounded the splenic vein. The lesion was subsequently resected. Macroscopically, it was a multiloculated cyst with intracystic hemorrhage. Microscopically, the lesion was composed of numerous, heterogeneous cysts lined by a flattened single layer of cells without significant atypia. Notably, numerous neoplastic vessels extended into the interlobular septa of the pancreas and surrounded the main pancreatic duct. Immunohistochemical analysis showed that the lining cells expressed CD31 and CD34. The lesion was diagnosed as adult pancreatic hemangioma. Surgical treatment may be required when a direct contact between the lesion and the pancreatic tissue is demonstrated using imaging.
doi_str_mv 10.3892/ol.2014.2206
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This study presents a case that includes the clinicopathologic information used to discriminate pancreatic hemangioma from other types of cystic lesion of the pancreas. A 40-year-old female visited hospital with a chief complaint of abdominal pain. The serum CEA and CA19-9 levels of the patient were within the normal limits. An abdominal computed tomography scan and magnetic resonance imaging showed a 100-mm mass lesion in the body and tail of the pancreas, and the tumor extended toward the retroperitoneum and surrounded the splenic vein. The lesion was subsequently resected. Macroscopically, it was a multiloculated cyst with intracystic hemorrhage. Microscopically, the lesion was composed of numerous, heterogeneous cysts lined by a flattened single layer of cells without significant atypia. Notably, numerous neoplastic vessels extended into the interlobular septa of the pancreas and surrounded the main pancreatic duct. 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This study presents a case that includes the clinicopathologic information used to discriminate pancreatic hemangioma from other types of cystic lesion of the pancreas. A 40-year-old female visited hospital with a chief complaint of abdominal pain. The serum CEA and CA19-9 levels of the patient were within the normal limits. An abdominal computed tomography scan and magnetic resonance imaging showed a 100-mm mass lesion in the body and tail of the pancreas, and the tumor extended toward the retroperitoneum and surrounded the splenic vein. The lesion was subsequently resected. Macroscopically, it was a multiloculated cyst with intracystic hemorrhage. Microscopically, the lesion was composed of numerous, heterogeneous cysts lined by a flattened single layer of cells without significant atypia. Notably, numerous neoplastic vessels extended into the interlobular septa of the pancreas and surrounded the main pancreatic duct. Immunohistochemical analysis showed that the lining cells expressed CD31 and CD34. The lesion was diagnosed as adult pancreatic hemangioma. 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source Spandidos Publications Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Abdomen
Adults
Age
Care and treatment
Case reports
Case studies
Cysts
Diagnosis
Health aspects
Hemangioma
Medical imaging
NMR
Nuclear magnetic resonance
Oncology
Pancreas
Pancreatectomy
Pancreatic cancer
pancreatic hemangioma
pancreatic neoplasm
Patient outcomes
Patients
Risk factors
Tomography
Tumors
title Adult pancreatic hemangioma: A case report
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