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.	潘书鸿, 汪东树, 张从雨. 胰腺淋巴管瘤 1 例. 中国现代普通外科进展, 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.	任项项, 田雨, 谢丰晓, 等. 胰腺淋巴管瘤 1 例报道并文献复习. 中国现代普通外科进展, 2018, 21(11): 920-922.
4.	何勇, 梁锐, 高振明, 等. 腹膜后囊性淋巴管瘤的 CT 诊断及治疗 (附 5 例报道). 中国普外基础与临床杂志, 2010, 17(12): 1304-1305.
5.	张梦然, 吴小丽, 吴建胜, 等. 成人腹腔淋巴管瘤 101 例综合分析. 医学研究杂志, 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.	李腾宇, 许元鸿, 刘哲, 等. 腹部淋巴管瘤 21 例诊治分析. 中国普外基础与临床杂志, 2015, 22(6): 735-736.
8.	程艳, 王静, 余铖, 等. 超声在腹部淋巴管瘤诊断中的价值研究. 中国医师杂志, 2018, 20(12): 1882-1884.
9.	蒋蒙蒙. 腹部囊性淋巴管瘤在 MRI 与多排螺旋 CT 诊断的表现特征分析. 临床研究, 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, 胡先贵. 胰腺淋巴管瘤一例. 中华外科杂志, 2006, 44(5): 301.
14.	Del Chiaro M, Rangelova E, Segersvärd 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 Å, Ansorge C, Yadav TD. Are there indications for total pancreatectomy in 2016? Dig Surg, 2016, 33(4): 329-334.
17.	陆团基. 全胰十二指肠切除术治疗胰腺癌 28 例分析. 临床医药文献电子杂志, 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.	马维东, 柳建中. 胰腺癌全胰切除术后的血糖管理. 天津医科大学学报, 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, 李亚男, 钱祝银, 等. 全胰切除术后患者营养治疗及血糖管理研究. 中国继续医学教育, 2018, 10(36): 127-130.
22.	谭亚非, 龚姝. 腹腔镜全胰切除术合并 2 型糖尿病患者的围手术期护理一例. 华西医学, 2017, 32(7): 1131-1132.
23.	荣华, 申荣喜, 李民, 等. 胰腺切除术后外分泌功能不全诊治进展. 中国临床研究, 2017, 30(5): 701-703.
24.	胥巧玉, 张浩, 龚姝, 等. 胰腺癌全胰切除术后焦虑危险因素分析. 华西医学, 2018, 33(4): 431-434.
25.	赵智文. 全胰切除术患者围手术期的护理. 当代护士 (下旬刊), 2018, 25(1): 74-76.

1. 潘书鸿, 汪东树, 张从雨. 胰腺淋巴管瘤 1 例. 中国现代普通外科进展, 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. 任项项, 田雨, 谢丰晓, 等. 胰腺淋巴管瘤 1 例报道并文献复习. 中国现代普通外科进展, 2018, 21(11): 920-922.
4. 何勇, 梁锐, 高振明, 等. 腹膜后囊性淋巴管瘤的 CT 诊断及治疗 (附 5 例报道). 中国普外基础与临床杂志, 2010, 17(12): 1304-1305.
5. 张梦然, 吴小丽, 吴建胜, 等. 成人腹腔淋巴管瘤 101 例综合分析. 医学研究杂志, 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. 李腾宇, 许元鸿, 刘哲, 等. 腹部淋巴管瘤 21 例诊治分析. 中国普外基础与临床杂志, 2015, 22(6): 735-736.
8. 程艳, 王静, 余铖, 等. 超声在腹部淋巴管瘤诊断中的价值研究. 中国医师杂志, 2018, 20(12): 1882-1884.
9. 蒋蒙蒙. 腹部囊性淋巴管瘤在 MRI 与多排螺旋 CT 诊断的表现特征分析. 临床研究, 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, 胡先贵. 胰腺淋巴管瘤一例. 中华外科杂志, 2006, 44(5): 301.
14. Del Chiaro M, Rangelova E, Segersvärd 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 Å, Ansorge C, Yadav TD. Are there indications for total pancreatectomy in 2016? Dig Surg, 2016, 33(4): 329-334.
17. 陆团基. 全胰十二指肠切除术治疗胰腺癌 28 例分析. 临床医药文献电子杂志, 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. 马维东, 柳建中. 胰腺癌全胰切除术后的血糖管理. 天津医科大学学报, 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, 李亚男, 钱祝银, 等. 全胰切除术后患者营养治疗及血糖管理研究. 中国继续医学教育, 2018, 10(36): 127-130.
22. 谭亚非, 龚姝. 腹腔镜全胰切除术合并 2 型糖尿病患者的围手术期护理一例. 华西医学, 2017, 32(7): 1131-1132.
23. 荣华, 申荣喜, 李民, 等. 胰腺切除术后外分泌功能不全诊治进展. 中国临床研究, 2017, 30(5): 701-703.
24. 胥巧玉, 张浩, 龚姝, 等. 胰腺癌全胰切除术后焦虑危险因素分析. 华西医学, 2018, 33(4): 431-434.
25. 赵智文. 全胰切除术患者围手术期的护理. 当代护士 (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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