Endometrial Cyst of the Pancreas

Marchevsky, Alberto M.; Zimmerman, Maurice J.; Aufses, Arthur H.; Weiss, Howard D.

doi:10.1016/s0016-5085(84)80177-8

Cited by 41 publications

(17 citation statements)

References 7 publications

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“…Cystic endoteriosis of the pancreas is very rare and has been mentioned in the literature only four times. Other reports have shown endometrial cysts in the pancreatic tail 1 , 10 – 12 ) . But, in our presented case, an endometrial cyst was located in the body of the pancreas.…”

Section: Discussionmentioning

confidence: 88%

“…The composite theory of the histogenesis of endometriosis combines the implantation, vascular/lymphatic metastasis and direct extension theories 20 ) . In a previous report, the pancreas was located in the retroperitoneum and had no clear connection with the peritoneal cavity, a finding that endometrial fragments could be transported through lymphatic or blood vessels into such distant sites 1 ) . Because there are protean manifestations of endometriosis, it is likely that several mechanisms are involved in the pathogenesis.…”

Section: Discussionmentioning

confidence: 96%

“… Pancreatic endometrial cyst is an extremely rare instance of ectopic endometriosis that was first described by Marchevsky in 1984 1 ) . A 21-yr-old woman with a history of epigastric pain and weight loss was found to have a cystic lesion in the pancreas on CT-scan.…”

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confidence: 99%

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A Case of Pancreatic Endometrial Cyst

Lee

Baek

Ahn

et al. 2002

Korean J Intern Med

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Pancreatic endometrial cyst is an extremely rare instance of ectopic endometriosis that was first described by Marchevsky in 19841). A 21-yr-old woman with a history of epigastric pain and weight loss was found to have a cystic lesion in the pancreas on CT-scan. Under the tentative diagnosis of a pancreatic cystic neoplasm, partial pancreatectomy was performed. Histopathological examination of the specimen revealed cystic endometriosis. The clinicopathological features of the lesion are discussed and literature concerning this extremely rare lesion is reviewed.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 96%

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A Case of Pancreatic Endometrial Cyst

Lee

Baek

Ahn

et al. 2002

Korean J Intern Med

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“…The expanded differential diagnosis for this case includes Mucinous cystic neoplasm (MCN) of the pancreas, pancreatic pseudocyst, serous cystadenoma, serous cystadenocarcinoma, solid pseudopapillary tumor, cystic pancreatic adenocarcinoma, cystic pancreatic neuroendocrine tumor, and ectopic tissue. Endometrial cysts in the pancreas are exceedingly rare lesions that are difficult to diagnose pre-operatively[ 1 , 6 - 15 ]. This report describes the findings of a giant endometrial cyst of the pancreas in a patient with a recent episode of acute pancreatitis.…”

Section: Discussionmentioning

confidence: 99%

“…The most common sites of endometriosis are the pelvic organs[ 5 ]; however, endometriosis of the upper abdominal organs has been described[ 1 , 6 - 15 ]. A literature review identified 12 previous cases of pancreatic endometriosis[ 1 , 6 - 15 ]. Each of these patients underwent surgical resection because a malignant or pre-malignant lesion could not be ruled out.…”

Section: Introductionmentioning

confidence: 99%

Pancreatic endometrial cyst mimics mucinous cystic neoplasm of the pancreas

Mederos

Villafañe

Dhingra

et al. 2017

WJG

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Pancreatic cysts include a variety of benign, premalignant, and malignant lesions. Endometrial cysts in the pancreas are exceedingly rare lesions that are difficult to diagnose pre-operatively. This report describes the findings in a 43-year-old patient with a recent episode of acute pancreatitis who presented with a large cyst in the tail of the pancreas. Imaging demonstrated a loculated pancreatic cyst, and cyst fluid aspiration revealed an elevated amylase and carcinoembryonic antigen. The patient experienced an interval worsening of abdominal pain, fatigue, diarrhea, and a 15-pound weight loss 3 mo after the initial episode of pancreatitis. With concern for a possible pre-malignant lesion, the patient underwent a laparoscopic distal pancreatectomy with splenectomy, which revealed a 16 cm × 12 cm × 4 cm lesion. Final histopathology was consistent with an intra-pancreatic endometrial cyst. Here we discuss the overlapping imaging and laboratory features of pancreatic endometrial cysts and mucinous cystic neoplasms of the pancreas.

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Extragenital Endometriosis

Franklin¹,

Grunert²

1995

Endometriosis

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Extra-genital endometriosisBACKGROUND: Even if endometriosis is usually an exclusively gynecological issue, atypical locations fall within the interest of general surgery. The aim of our retrospective study focuses on the need for surgeons to face this rare condition, in order to avoid unnecessary or inadequate treatment. METHODS: We retrospectively analyzed clinical presentations, previous endometriosis diagnosis and surgical acts on a group of 60 patients, whose mean age was 38.2 years old, with extra-genital endometriosis.RESULTS: Among the 60 cases of extra-genital endometriosis collected, bowel foci, 37 cases -61,7% -were the most frequent; then we collected 13 (21.7%) skin, 7 (11.7%) urinary tract and 3 (5%) whole pelvis localizations. It's important to underline the finding of 2 aggressive malignant transformations. CONCLUSIONS: Extra-genital endometriosis should be considered as a cause of otherwise inexplicable abdominal pain in young women. Since imaging techniques lack in specificity, we propose explorative laparoscopy as a powerful diagnostic means. Moreover laparoscopy can be turned into a therapeutic act, also limiting the adherences issue, which is associated with this illness and would worsen with open surgery. Extra-genital endometriosis should be treated also to avoid rare, but possible, risk of cancerization.

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Endometrial Cyst of the Pancreas

Cited by 41 publications

References 7 publications

A Case of Pancreatic Endometrial Cyst

A Case of Pancreatic Endometrial Cyst

Pancreatic endometrial cyst mimics mucinous cystic neoplasm of the pancreas

Extragenital Endometriosis

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