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 |
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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. 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.</description><identifier>ISSN: 1792-1074</identifier><identifier>EISSN: 1792-1082</identifier><identifier>DOI: 10.3892/ol.2014.2206</identifier><identifier>PMID: 25013478</identifier><language>eng</language><publisher>Greece: D.A. Spandidos</publisher><subject>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</subject><ispartof>Oncology letters, 2014-08, Vol.8 (2), p.642-644</ispartof><rights>Copyright © 2014, Spandidos Publications</rights><rights>COPYRIGHT 2014 Spandidos Publications</rights><rights>Copyright Spandidos Publications UK Ltd. 2014</rights><rights>Copyright © 2014, Spandidos Publications 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c541t-4436eb23ea94fa390251f4cba7d5105d0157dd2c2b210e452ceaeceda9d12f433</citedby><cites>FETCH-LOGICAL-c541t-4436eb23ea94fa390251f4cba7d5105d0157dd2c2b210e452ceaeceda9d12f433</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4081133/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4081133/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,5555,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25013478$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>NAITO, YOSHIKI</creatorcontrib><creatorcontrib>NISHIDA, NAOYO</creatorcontrib><creatorcontrib>NAKAMURA, YASUHIRO</creatorcontrib><creatorcontrib>TORII, YOSHIKUNI</creatorcontrib><creatorcontrib>YOSHIKAI, HIROSHI</creatorcontrib><creatorcontrib>KAWANO, HIROSHI</creatorcontrib><creatorcontrib>AKIYAMA, TETSUJI</creatorcontrib><creatorcontrib>SAKAI, TERUFUMI</creatorcontrib><creatorcontrib>TANIWAKI, SATORU</creatorcontrib><creatorcontrib>TANAKA, MASAYA</creatorcontrib><creatorcontrib>KURODA, HISASHI</creatorcontrib><creatorcontrib>HIGAKI, KOICHI</creatorcontrib><title>Adult pancreatic hemangioma: A case report</title><title>Oncology letters</title><addtitle>Oncol Lett</addtitle><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.</description><subject>Abdomen</subject><subject>Adults</subject><subject>Age</subject><subject>Care and treatment</subject><subject>Case reports</subject><subject>Case studies</subject><subject>Cysts</subject><subject>Diagnosis</subject><subject>Health aspects</subject><subject>Hemangioma</subject><subject>Medical imaging</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Oncology</subject><subject>Pancreas</subject><subject>Pancreatectomy</subject><subject>Pancreatic cancer</subject><subject>pancreatic hemangioma</subject><subject>pancreatic neoplasm</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Risk factors</subject><subject>Tomography</subject><subject>Tumors</subject><issn>1792-1074</issn><issn>1792-1082</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNptkt9rFDEQx4MottS--SwLgoh0z_zcTXwQjmJVKPiizyGXzN6lZJMz2RX8783SetcTk4cMyWe-Q74zCL0keMWkou9TWFFM-IpS3D1B56RXtCVY0qeHuOdn6LKUO1yX6IiU3XN0RgUmjPfyHL1buzlMzd5Em8FM3jY7GE3c-jSaD826saZAk2Gf8vQCPRtMKHD5cF6gHzefvl9_aW-_ff56vb5treBkajlnHWwoA6P4YJjCVJCB243pnSBYOExE7xy1dEMJBi6oBQMWnFGO0IEzdoE-3uvu580IzkKcsgl6n_1o8m-djNenL9Hv9Db90hxLQtgi8PZBIKefM5RJj75YCMFESHPRRNJOqE4pXtHX_6B3ac6xfk8TxWjHpRTqSG1NAO3jkGpdu4jqNSe446xaXqnVf6i6HYzepgiDr_cnCW8eJezAhGlXUpgnn2I5Ba_uQZtTKRmGgxkE62UOdAp6mQO9zEHFXz028AD_7fqxcKl9d96lcnQ3tFi2mLa1NmV_AHAMtkc</recordid><startdate>20140801</startdate><enddate>20140801</enddate><creator>NAITO, YOSHIKI</creator><creator>NISHIDA, NAOYO</creator><creator>NAKAMURA, YASUHIRO</creator><creator>TORII, YOSHIKUNI</creator><creator>YOSHIKAI, HIROSHI</creator><creator>KAWANO, HIROSHI</creator><creator>AKIYAMA, TETSUJI</creator><creator>SAKAI, TERUFUMI</creator><creator>TANIWAKI, SATORU</creator><creator>TANAKA, MASAYA</creator><creator>KURODA, HISASHI</creator><creator>HIGAKI, KOICHI</creator><general>D.A. Spandidos</general><general>Spandidos Publications</general><general>Spandidos Publications UK Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140801</creationdate><title>Adult pancreatic hemangioma: A case report</title><author>NAITO, YOSHIKI ; NISHIDA, NAOYO ; NAKAMURA, YASUHIRO ; TORII, YOSHIKUNI ; YOSHIKAI, HIROSHI ; KAWANO, HIROSHI ; AKIYAMA, TETSUJI ; SAKAI, TERUFUMI ; TANIWAKI, SATORU ; TANAKA, MASAYA ; KURODA, HISASHI ; HIGAKI, KOICHI</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c541t-4436eb23ea94fa390251f4cba7d5105d0157dd2c2b210e452ceaeceda9d12f433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Abdomen</topic><topic>Adults</topic><topic>Age</topic><topic>Care and treatment</topic><topic>Case reports</topic><topic>Case studies</topic><topic>Cysts</topic><topic>Diagnosis</topic><topic>Health aspects</topic><topic>Hemangioma</topic><topic>Medical imaging</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Oncology</topic><topic>Pancreas</topic><topic>Pancreatectomy</topic><topic>Pancreatic cancer</topic><topic>pancreatic hemangioma</topic><topic>pancreatic neoplasm</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>Risk factors</topic><topic>Tomography</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>NAITO, YOSHIKI</creatorcontrib><creatorcontrib>NISHIDA, NAOYO</creatorcontrib><creatorcontrib>NAKAMURA, YASUHIRO</creatorcontrib><creatorcontrib>TORII, YOSHIKUNI</creatorcontrib><creatorcontrib>YOSHIKAI, HIROSHI</creatorcontrib><creatorcontrib>KAWANO, HIROSHI</creatorcontrib><creatorcontrib>AKIYAMA, TETSUJI</creatorcontrib><creatorcontrib>SAKAI, TERUFUMI</creatorcontrib><creatorcontrib>TANIWAKI, SATORU</creatorcontrib><creatorcontrib>TANAKA, MASAYA</creatorcontrib><creatorcontrib>KURODA, HISASHI</creatorcontrib><creatorcontrib>HIGAKI, KOICHI</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Oncology letters</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>NAITO, YOSHIKI</au><au>NISHIDA, NAOYO</au><au>NAKAMURA, YASUHIRO</au><au>TORII, YOSHIKUNI</au><au>YOSHIKAI, HIROSHI</au><au>KAWANO, HIROSHI</au><au>AKIYAMA, TETSUJI</au><au>SAKAI, TERUFUMI</au><au>TANIWAKI, SATORU</au><au>TANAKA, MASAYA</au><au>KURODA, HISASHI</au><au>HIGAKI, KOICHI</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adult pancreatic hemangioma: A case report</atitle><jtitle>Oncology letters</jtitle><addtitle>Oncol Lett</addtitle><date>2014-08-01</date><risdate>2014</risdate><volume>8</volume><issue>2</issue><spage>642</spage><epage>644</epage><pages>642-644</pages><issn>1792-1074</issn><eissn>1792-1082</eissn><abstract>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.</abstract><cop>Greece</cop><pub>D.A. Spandidos</pub><pmid>25013478</pmid><doi>10.3892/ol.2014.2206</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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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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