Conclusions:
Pancreatic lymphangioma is an unusual clinical finding of the pancreas
which should be included and evaluated in the differential diagnosis of
pancreatic cystic tumors. It is often asymptomatic and diagnosed on
imaging. Definitive diagnosis is made with the combination of clinical
evaluation, imaging studies and FNA analysis leads to suspicion which
can be confirmed on histopathology. Lymphangioma is a benign lesion, if
the patient is symptom-free and the lesion is not growing, a patient can
be managed conservatively with regular surveillance and imaging is the
best strategy. Surgical management is reversed in symptomatic patients,
with typical morphology (microcystic) that does not favor spontaneous
regression, or cyst expansion endangering adjacent structures and not
required and our case reveals the typical imaging and pathognomic ES FNA
results of a lymphangioma in an atypical organ.
Conflict of Interest: All authors declare no conflict of
interest.
Funding Role: None to declare.
Author Contributions: All authors contributed equally to
the drafting of study.
Ethical Statement: The patient signed an informed
consent form, as per the ethical guidelines of hospital board.