An Unexpected Case Report of Adrenal Lymphangioma: Mimicking Metastatic Tumor on Imaging in a Patient With Pancreatic Cancer

Adrenal lymphangioma is a very rare benign lesion worldwide and remains challenging for early diagnosis, especially when the patient has some complicated clinical disease. This is an unusual case of a 68-year-old man who was admitted to our hospital with a history of pancreatic tumor. Computed tomog...

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Main Authors: Shang Wan, Xijiao Liu, Bole Tian, Dan Cao, Mao Li, Yuhao He, Bin Song
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-01-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2020.610744/full
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author Shang Wan
Xijiao Liu
Bole Tian
Dan Cao
Mao Li
Yuhao He
Bin Song
author_facet Shang Wan
Xijiao Liu
Bole Tian
Dan Cao
Mao Li
Yuhao He
Bin Song
author_sort Shang Wan
collection DOAJ
description Adrenal lymphangioma is a very rare benign lesion worldwide and remains challenging for early diagnosis, especially when the patient has some complicated clinical disease. This is an unusual case of a 68-year-old man who was admitted to our hospital with a history of pancreatic tumor. Computed tomography (CT) images and subsequent magnetic resonance imaging (MRI) revealed a mass located in the left adrenal gland, presenting a similar enhancement pattern of the pancreatic tumor, and according to the imaging features, the patient was suspected to have an adrenal metastatic tumor originating from the pancreatic tumor. The patient underwent a surgical resection of the pancreatic tumor and the left adrenal gland. The pathologic diagnosis proved to be lymphangioma deriving from the left adrenal gland. This is the first report presenting an atypical adrenal lymphangioma mimicking a metastatic tumor of pancreatic origin, which might be suggestive in the diagnosis of adrenal lesions and the subsequent clinical treatment, especially when patient has a particular medical history. As we know, imaging examination is helpful for accurate preoperative diagnosis; however, the diagnosis of malignant tumor solely based on imaging procedures should be made cautiously by radiologists.
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spelling doaj.art-5a2d156768824f0e87208ee9ad2741b12022-12-21T21:34:42ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922021-01-011110.3389/fendo.2020.610744610744An Unexpected Case Report of Adrenal Lymphangioma: Mimicking Metastatic Tumor on Imaging in a Patient With Pancreatic CancerShang Wan0Xijiao Liu1Bole Tian2Dan Cao3Mao Li4Yuhao He5Bin Song6Department of Radiology, West China Hospital of Sichuan University, Chengdu, ChinaDepartment of Radiology, West China Hospital of Sichuan University, Chengdu, ChinaDepartment of Pancreatic Surgery, West China Hospital of Sichuan University, Chengdu, ChinaDepartment of Oncology, West China Hospital of Sichuan University, Chengdu, ChinaDepartment of Pancreatic Surgery, West China Hospital of Sichuan University, Chengdu, ChinaDepartment of Neurosurgery, Chengdu Third People’s Hospital, Chengdu, ChinaDepartment of Radiology, West China Hospital of Sichuan University, Chengdu, ChinaAdrenal lymphangioma is a very rare benign lesion worldwide and remains challenging for early diagnosis, especially when the patient has some complicated clinical disease. This is an unusual case of a 68-year-old man who was admitted to our hospital with a history of pancreatic tumor. Computed tomography (CT) images and subsequent magnetic resonance imaging (MRI) revealed a mass located in the left adrenal gland, presenting a similar enhancement pattern of the pancreatic tumor, and according to the imaging features, the patient was suspected to have an adrenal metastatic tumor originating from the pancreatic tumor. The patient underwent a surgical resection of the pancreatic tumor and the left adrenal gland. The pathologic diagnosis proved to be lymphangioma deriving from the left adrenal gland. This is the first report presenting an atypical adrenal lymphangioma mimicking a metastatic tumor of pancreatic origin, which might be suggestive in the diagnosis of adrenal lesions and the subsequent clinical treatment, especially when patient has a particular medical history. As we know, imaging examination is helpful for accurate preoperative diagnosis; however, the diagnosis of malignant tumor solely based on imaging procedures should be made cautiously by radiologists.https://www.frontiersin.org/articles/10.3389/fendo.2020.610744/fulladrenal tumorlymphangiomapancreatic cancermagnetic resonance imagingcomputed tomographydifferential diagnosis
spellingShingle Shang Wan
Xijiao Liu
Bole Tian
Dan Cao
Mao Li
Yuhao He
Bin Song
An Unexpected Case Report of Adrenal Lymphangioma: Mimicking Metastatic Tumor on Imaging in a Patient With Pancreatic Cancer
Frontiers in Endocrinology
adrenal tumor
lymphangioma
pancreatic cancer
magnetic resonance imaging
computed tomography
differential diagnosis
title An Unexpected Case Report of Adrenal Lymphangioma: Mimicking Metastatic Tumor on Imaging in a Patient With Pancreatic Cancer
title_full An Unexpected Case Report of Adrenal Lymphangioma: Mimicking Metastatic Tumor on Imaging in a Patient With Pancreatic Cancer
title_fullStr An Unexpected Case Report of Adrenal Lymphangioma: Mimicking Metastatic Tumor on Imaging in a Patient With Pancreatic Cancer
title_full_unstemmed An Unexpected Case Report of Adrenal Lymphangioma: Mimicking Metastatic Tumor on Imaging in a Patient With Pancreatic Cancer
title_short An Unexpected Case Report of Adrenal Lymphangioma: Mimicking Metastatic Tumor on Imaging in a Patient With Pancreatic Cancer
title_sort unexpected case report of adrenal lymphangioma mimicking metastatic tumor on imaging in a patient with pancreatic cancer
topic adrenal tumor
lymphangioma
pancreatic cancer
magnetic resonance imaging
computed tomography
differential diagnosis
url https://www.frontiersin.org/articles/10.3389/fendo.2020.610744/full
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