Multi-disciplinary treatment in treatment of a case of giant pancreatic cystic lymphangioma_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

XIE Jiabao ^1,2 , LIU Zhi ^1,3 , YAN Dehui ^1,3 , LI Jianshui ^1,3 ,  XIE Liang ^1,3

1. Department of Hepatobiliary Surgery 2, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, P. R. China;
2. Department of Clinical Medicine, North Sichuan Medical College, Nanchong, Sichuan 637000, P. R. China;
3. Northeast Sichuan Pancreatitis Treatment Center, North Sichuan Medical College, Nanchong, Sichuan 637000, P. R. China;

Corresponding?author：

XIE Liang, Email: scuxl@foxmail.com

Keywords：

pancreatic cystic lymphangioma; multi-disciplinary treatment; pancreatectomy

DOI：

10.7507/1007-9424.202005017

Video：

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Objective To summarize the effect of the multi-disciplinary treatment (MDT) for a patient with giant pancreatic cystic lymphangioma.Methods The clinical data of a patient with pancreatic lymphangioma admitted to the Affiliated Hospital of North Sichuan Medical College in March 2020 was retrospectively analyzed, then reviewed the literatures, and summarized the preoperative diagnosis, treatment, and management of perioperative period and long-term period after surgery of this rare disease.Results After admission, the patient was diagnosed as pancreatic tumor by various imaging and laboratory examinations. The nature was unknown. After discussion by MDT, it was decided to undergo a total pancreatectomy (TP). After the operation, drugs and diet were given to regulate blood glucose. The patient’s tumor disappeared after the operation, and no tumor recurrence was found in the three months after discharge.Conclusions Pancreatic lymphangioma is rare and lacks a clear diagnosis and treatment plan. The MDT mode can bring a clearer diagnosis and more effective treatment for it.

Citation： XIE Jiabao, LIU Zhi, YAN Dehui, LI Jianshui, XIE Liang. Multi-disciplinary treatment in treatment of a case of giant pancreatic cystic lymphangioma. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2020, 27(9): 1145-1149. doi: 10.7507/1007-9424.202005017 Copy

1.	潘書鴻, 汪東樹, 張從雨. 胰腺淋巴管瘤 1 例. 中國現代普通外科進展, 2018, 21(3): 251-252.
2.	Igarashi A, Maruo Y, Ito T, et al. Huge cystic lymphangioma of the pancreas: report of a case. Surg Today, 2001, 31(8): 743-746.
3.	任項項, 田雨, 謝豐曉, 等. 胰腺淋巴管瘤 1 例報道并文獻復習. 中國現代普通外科進展, 2018, 21(11): 920-922.
4.	何勇, 梁銳, 高振明, 等. 腹膜后囊性淋巴管瘤的 CT 診斷及治療 (附 5 例報道). 中國普外基礎與臨床雜志, 2010, 17(12): 1304-1305.
5.	張夢然, 吳小麗, 吳建勝, 等. 成人腹腔淋巴管瘤 101 例綜合分析. 醫學研究雜志, 2010, 39(4): 82-84.
6.	Gray G, Fried K, Iraci J. Cystic lymphangioma of the pancreas: CT and pathologic findings. Abdom Imaging, 1998, 23(1): 78-80.
7.	李騰宇, 許元鴻, 劉哲, 等. 腹部淋巴管瘤 21 例診治分析. 中國普外基礎與臨床雜志, 2015, 22(6): 735-736.
8.	程艷, 王靜, 余鋮, 等. 超聲在腹部淋巴管瘤診斷中的價值研究. 中國醫師雜志, 2018, 20(12): 1882-1884.
9.	蔣蒙蒙. 腹部囊性淋巴管瘤在 MRI 與多排螺旋 CT 診斷的表現特征分析. 臨床研究, 2019, 27(10): 3-5.
10.	Viscosi F, Fleres F, Mazzeo C, et al. Cystic lymphangioma of the pancreas: a hard diagnostic challenge between pancreatic cystic lesions-review of recent literature. Gland Surg, 2018, 7(5): 487-492.
11.	Bihari C, Rastogi A, Rajesh S, et al. Cystic lymphangioma of pancreas. Indian J Surg Oncol, 2016, 7(1): 106-109.
12.	Dalla Bona E, Beltrame V, Blandamura S, et al. Huge cystic lymphangioma of the pancreas mimicking pancreatic cystic neoplasm. Case Rep Med, 2012, 2012: 951358.
13.	何天霖, 周旭宇, 胡先貴. 胰腺淋巴管瘤一例. 中華外科雜志, 2006, 44(5): 301.
14.	Del Chiaro M, Rangelova E, Segersv?rd R, et al. Are there still indications for total pancreatectomy? Updates Surg, 2016, 68(3): 257-263.
15.	Johnston WC, Hoen HM, Cassera MA, et al. Total pancreatectomy for pancreatic ductal adenocarcinoma: review of the National Cancer Data Base. HPB (Oxford), 2016, 18(1): 21-28.
16.	Andrén-Sandberg ?, Ansorge C, Yadav TD. Are there indications for total pancreatectomy in 2016? Dig Surg, 2016, 33(4): 329-334.
17.	陸團基. 全胰十二指腸切除術治療胰腺癌 28 例分析. 臨床醫藥文獻電子雜志, 2018, 5(42): 71, 73.
18.	Stoop TF, Ateeb Z, Ghorbani P, et al. Impact of endocrine and exocrine insufficiency on quality of life after total pancreatectomy. Ann Surg Oncol, 2020, 27(2): 587-596.
19.	馬維東, 柳建中. 胰腺癌全胰切除術后的血糖管理. 天津醫科大學學報, 2003, 9(2): 240-242.
20.	Almond M, Roberts KJ, Hodson J, et al. Changing indications for a total pancreatectomy: perspectives over a quarter of a century. HPB (Oxford), 2015, 17(5): 416-421.
21.	郜建玲, 李亞男, 錢祝銀, 等. 全胰切除術后患者營養治療及血糖管理研究. 中國繼續醫學教育, 2018, 10(36): 127-130.
22.	譚亞非, 龔姝. 腹腔鏡全胰切除術合并 2 型糖尿病患者的圍手術期護理一例. 華西醫學, 2017, 32(7): 1131-1132.
23.	榮華, 申榮喜, 李民, 等. 胰腺切除術后外分泌功能不全診治進展. 中國臨床研究, 2017, 30(5): 701-703.
24.	胥巧玉, 張浩, 龔姝, 等. 胰腺癌全胰切除術后焦慮危險因素分析. 華西醫學, 2018, 33(4): 431-434.
25.	趙智文. 全胰切除術患者圍手術期的護理. 當代護士 (下旬刊), 2018, 25(1): 74-76.

1. 潘書鴻, 汪東樹, 張從雨. 胰腺淋巴管瘤 1 例. 中國現代普通外科進展, 2018, 21(3): 251-252.
2. Igarashi A, Maruo Y, Ito T, et al. Huge cystic lymphangioma of the pancreas: report of a case. Surg Today, 2001, 31(8): 743-746.
3. 任項項, 田雨, 謝豐曉, 等. 胰腺淋巴管瘤 1 例報道并文獻復習. 中國現代普通外科進展, 2018, 21(11): 920-922.
4. 何勇, 梁銳, 高振明, 等. 腹膜后囊性淋巴管瘤的 CT 診斷及治療 (附 5 例報道). 中國普外基礎與臨床雜志, 2010, 17(12): 1304-1305.
5. 張夢然, 吳小麗, 吳建勝, 等. 成人腹腔淋巴管瘤 101 例綜合分析. 醫學研究雜志, 2010, 39(4): 82-84.
6. Gray G, Fried K, Iraci J. Cystic lymphangioma of the pancreas: CT and pathologic findings. Abdom Imaging, 1998, 23(1): 78-80.
7. 李騰宇, 許元鴻, 劉哲, 等. 腹部淋巴管瘤 21 例診治分析. 中國普外基礎與臨床雜志, 2015, 22(6): 735-736.
8. 程艷, 王靜, 余鋮, 等. 超聲在腹部淋巴管瘤診斷中的價值研究. 中國醫師雜志, 2018, 20(12): 1882-1884.
9. 蔣蒙蒙. 腹部囊性淋巴管瘤在 MRI 與多排螺旋 CT 診斷的表現特征分析. 臨床研究, 2019, 27(10): 3-5.
10. Viscosi F, Fleres F, Mazzeo C, et al. Cystic lymphangioma of the pancreas: a hard diagnostic challenge between pancreatic cystic lesions-review of recent literature. Gland Surg, 2018, 7(5): 487-492.
11. Bihari C, Rastogi A, Rajesh S, et al. Cystic lymphangioma of pancreas. Indian J Surg Oncol, 2016, 7(1): 106-109.
12. Dalla Bona E, Beltrame V, Blandamura S, et al. Huge cystic lymphangioma of the pancreas mimicking pancreatic cystic neoplasm. Case Rep Med, 2012, 2012: 951358.
13. 何天霖, 周旭宇, 胡先貴. 胰腺淋巴管瘤一例. 中華外科雜志, 2006, 44(5): 301.
14. Del Chiaro M, Rangelova E, Segersv?rd R, et al. Are there still indications for total pancreatectomy? Updates Surg, 2016, 68(3): 257-263.
15. Johnston WC, Hoen HM, Cassera MA, et al. Total pancreatectomy for pancreatic ductal adenocarcinoma: review of the National Cancer Data Base. HPB (Oxford), 2016, 18(1): 21-28.
16. Andrén-Sandberg ?, Ansorge C, Yadav TD. Are there indications for total pancreatectomy in 2016? Dig Surg, 2016, 33(4): 329-334.
17. 陸團基. 全胰十二指腸切除術治療胰腺癌 28 例分析. 臨床醫藥文獻電子雜志, 2018, 5(42): 71, 73.
18. Stoop TF, Ateeb Z, Ghorbani P, et al. Impact of endocrine and exocrine insufficiency on quality of life after total pancreatectomy. Ann Surg Oncol, 2020, 27(2): 587-596.
19. 馬維東, 柳建中. 胰腺癌全胰切除術后的血糖管理. 天津醫科大學學報, 2003, 9(2): 240-242.
20. Almond M, Roberts KJ, Hodson J, et al. Changing indications for a total pancreatectomy: perspectives over a quarter of a century. HPB (Oxford), 2015, 17(5): 416-421.
21. 郜建玲, 李亞男, 錢祝銀, 等. 全胰切除術后患者營養治療及血糖管理研究. 中國繼續醫學教育, 2018, 10(36): 127-130.
22. 譚亞非, 龔姝. 腹腔鏡全胰切除術合并 2 型糖尿病患者的圍手術期護理一例. 華西醫學, 2017, 32(7): 1131-1132.
23. 榮華, 申榮喜, 李民, 等. 胰腺切除術后外分泌功能不全診治進展. 中國臨床研究, 2017, 30(5): 701-703.
24. 胥巧玉, 張浩, 龔姝, 等. 胰腺癌全胰切除術后焦慮危險因素分析. 華西醫學, 2018, 33(4): 431-434.
25. 趙智文. 全胰切除術患者圍手術期的護理. 當代護士 (下旬刊), 2018, 25(1): 74-76.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Multi-disciplinary treatment in treatment of a case of giant pancreatic cystic lymphangioma

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