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Jin C, Mo JG, Jiang H, Wang LZ, Zou H, Wang KP. Adult pancreatic hemangioma: a rare case report and literature review. BMC Surg 2020; 20:118. [PMID: 32493358 PMCID: PMC7268514 DOI: 10.1186/s12893-020-00779-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2019] [Accepted: 05/20/2020] [Indexed: 12/16/2022] Open
Abstract
Background Adult pancreatic hemangioma is an extremely rare type of benign vascular tumor. To date, about 20 cases have been reported in the English literature. Adult patients with pancreatic hemangiomas usually have no specific symptoms, particularly in early stages. Therefore, it is difficult to detect and diagnose these lesions, which usually are identified during cross sectional imaging for an apparently unrelated causes or when biliary obstruction occurs because of compression by a tumor. Case presentation This study presents the case of a 52-year-old female with a chief complaint of epigastric pain. Contrast-enhanced computed tomography revealed a well-defined mass with mildly inhomogeneous enhancement in the body of the pancreas. Endoscopic ultrasonography showed calcifications in the lesion, and a few small vessels were detected by Doppler imaging. The patient received a central pancreatectomy, and pathological examination confirmed the diagnosis of pancreatic hemangioma. Conclusion In this report, we reviewed the clinical manifestations, radiologic features, preoperative diagnosis, pathologic characteristics, and surgical treatment of adult pancreatic hemangioma.
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Affiliation(s)
- Chong Jin
- Department of General Surgery, Taizhou Central Hospital, Taizhou University Hospital, Taizhou, Zhejiang, 318000, China
| | - Jing-Gang Mo
- Department of General Surgery, Taizhou Central Hospital, Taizhou University Hospital, Taizhou, Zhejiang, 318000, China
| | - Hao Jiang
- Department of General Surgery, Taizhou Central Hospital, Taizhou University Hospital, Taizhou, Zhejiang, 318000, China
| | - Lie-Zhi Wang
- Department of General Surgery, Taizhou Central Hospital, Taizhou University Hospital, Taizhou, Zhejiang, 318000, China
| | - Heng Zou
- Department of General Surgery, Second Xiangya Hospital, Central South University, Changsha, 410000, Hunan, China
| | - Kun-Peng Wang
- Department of General Surgery, Taizhou Central Hospital, Taizhou University Hospital, Taizhou, Zhejiang, 318000, China.
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Torres US, Matsumoto C, de Macedo Neto AC, Caldana RP, Motoyama Caiado ÂH, Tiferes DA, Warmbrand G, de Godoy LL, D’Ippolito G. Common and Uncommon Benign Pancreatic Lesions Mimicking Malignancy: Imaging Update and Review. Semin Ultrasound CT MR 2018; 39:206-219. [DOI: 10.1053/j.sult.2017.10.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Mondal U, Henkes N, Henkes D, Rosenkranz L. Cavernous hemangioma of adult pancreas: A case report and literature review. World J Gastroenterol 2015; 21:9793-9802. [PMID: 26361427 PMCID: PMC4562964 DOI: 10.3748/wjg.v21.i33.9793] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2015] [Revised: 05/29/2015] [Accepted: 06/26/2015] [Indexed: 02/06/2023] Open
Abstract
Pancreatic hemangioma is a rare type of benign vascular tumor. Low clinical suspicion and inability of current cross sectional imaging techniques to differentiate it from other pancreatic lesions, contribute to the difficulty in making the correct diagnosis. Without a definitive diagnosis, and due to concern for malignancy, in many instances, surgery is performed. We report a case of pancreas cavernous hemangioma in an 18-year-old female. The patient presented with three-month history of epigastric pain. Physical examination and routine blood tests were normal. Abdominal Computed Tomography scan revealed a 5 cm × 6 cm complex non-enhancing cystic mass in the head of pancreas. Magnetic resonance imaging, endoscopic ultrasonography (EUS) and EUS guided fine needle aspiration cytology were non-diagnostic. Because of uncontrolled symptoms, the patient underwent surgical resection. Histopathology and Immunohistochemical staining confirmed the diagnosis of cavernous hemangioma of pancreas.
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Lu T, Yang C. Rare case of adult pancreatic hemangioma and review of the literature. World J Gastroenterol 2015; 21:9228-9232. [PMID: 26290651 PMCID: PMC4533056 DOI: 10.3748/wjg.v21.i30.9228] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/30/2015] [Revised: 03/29/2015] [Accepted: 05/04/2015] [Indexed: 02/06/2023] Open
Abstract
Pancreatic hemangiomas are a rare type of cystic tumor, with very few cases reported in the literature. Herein, we present the case of a 28-year-old woman who was admitted to our hospital for abdominal pain. A physical examination failed to reveal any abnormalities that could explain her symptoms. A contrast-enhanced computed tomography showed a multilocular cyst with moderately enhanced septa and fluid-fluid levels in the body and tail of the pancreas. A serous cystadenoma or pseudocyst of the pancreas was initially suspected, and the patient underwent a subtotal pancreatectomy and splenectomy. The pathologic diagnosis was a pancreatic hemangioma. This is the second case of pancreatic hemangioma with fluid-fluid levels reported in the literature. Upon imaging, the presentation of this tumor can resemble serous or mucinous cystadenomas, pseudocysts of the pancreas, and side-branch type intraductal papillary mucinous neoplasms. This report reviews the clinical symptoms, radiologic features, pathologic characteristics, differential diagnoses, and treatment of this rare lesion type.
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Naito Y, Nishida N, Nakamura Y, Torii Y, Yoshikai H, Kawano H, Akiyama T, Sakai T, Taniwaki S, Tanaka M, Kuroda H, Higaki K. Adult pancreatic hemangioma: A case report. Oncol Lett 2014; 8:642-644. [PMID: 25013478 PMCID: PMC4081133 DOI: 10.3892/ol.2014.2206] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2013] [Accepted: 02/26/2014] [Indexed: 12/19/2022] Open
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.
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Affiliation(s)
- Yoshiki Naito
- Department of Pathology, St. Mary's Hospital, Kurume, Fukuoka 830-8543, Japan
| | - Naoyo Nishida
- Department of Pathology, St. Mary's Hospital, Kurume, Fukuoka 830-8543, Japan
| | - Yasuhiro Nakamura
- Department of Pathology, St. Mary's Hospital, Kurume, Fukuoka 830-8543, Japan
| | - Yoshikuni Torii
- Department of Radiology, St. Mary's Hospital, Kurume, Fukuoka 830-8543, Japan
| | - Hiroshi Yoshikai
- Department of Gastroenterology, St. Mary's Hospital, Kurume, Fukuoka 830-8543, Japan
| | - Hiroshi Kawano
- Department of Gastroenterology, St. Mary's Hospital, Kurume, Fukuoka 830-8543, Japan
| | - Tetsuji Akiyama
- Department of Gastroenterology, St. Mary's Hospital, Kurume, Fukuoka 830-8543, Japan
| | - Terufumi Sakai
- Department of Gastroenterology, St. Mary's Hospital, Kurume, Fukuoka 830-8543, Japan
| | - Satoru Taniwaki
- Department of Surgery, St. Mary's Hospital, Kurume, Fukuoka 830-8543, Japan
| | - Masaya Tanaka
- Department of Surgery, St. Mary's Hospital, Kurume, Fukuoka 830-8543, Japan
| | - Hisashi Kuroda
- Department of Surgery, St. Mary's Hospital, Kurume, Fukuoka 830-8543, Japan
| | - Koichi Higaki
- Department of Pathology, St. Mary's Hospital, Kurume, Fukuoka 830-8543, Japan
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Bursics A, Gyökeres T, Bély M, Pörneczi B. Adult hemangioma of the pancreas: difficult diagnosis of a rare disease. Clin J Gastroenterol 2013; 6:338-43. [DOI: 10.1007/s12328-013-0396-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/26/2012] [Accepted: 06/03/2013] [Indexed: 02/07/2023]
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Lee J, Raman K, Sachithanandan S. Pancreatic hemangioma mimicking a malignant pancreatic cyst. Gastrointest Endosc 2011; 73:174-6. [PMID: 20932519 DOI: 10.1016/j.gie.2010.07.038] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2010] [Accepted: 07/24/2010] [Indexed: 12/13/2022]
Affiliation(s)
- Jarrod Lee
- Department of Hepatology, Hospital Selayang, Kuala Lumpur, Malaysia
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Adult pancreatic hemangioma: case report and literature review. Gastroenterol Res Pract 2009; 2009:839730. [PMID: 19421421 PMCID: PMC2676326 DOI: 10.1155/2009/839730] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2008] [Accepted: 02/09/2009] [Indexed: 12/11/2022] Open
Abstract
We report an adult pancreatic hemangioma diagnosed on pathological specimen review following pylorus preserving pancreaticoduodenectomy for a symptomatic cystic mass in the head of the pancreas. Eight cases of adult pancreatic hemangioma have been reported in literature since 1939. Presenting symptoms, radiographic diagnosis, pathologic characteristics, and treatment of adult pancreatic hemagiomas are discussed following review of all published cases.
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Happel B, Niederle B, Puespoek A, Ba-Ssalamah A, Schima W. Benigne neuroendokrine und andere seltene benigne Tumoren des Pankreas. Radiologe 2008; 48:752-63. [DOI: 10.1007/s00117-008-1672-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
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10
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Novellas S. [What is your diagnosis? Metachronous metastasis of renal adenocarcinoma]. ACTA ACUST UNITED AC 2008; 88:1906-8. [PMID: 18235355 DOI: 10.1016/s0221-0363(07)78372-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- S Novellas
- CHU et Universitaire de Nice, Hôpital Archet 2, 151 route de Saint-Antoine de Ginestière, Nice Cedex 3.
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