Lymphoepithelial cyst in the pancreas: A case report

Yamamoto, Kyoji; Fujimoto, Kazumi; Matsushiro, Takashi; Ota, Kohei

doi:10.1007/bf02779192

Cited by 29 publications

(20 citation statements)

References 2 publications

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“…Although elevations of serum CA 19-9 [11] , cyst fluid CA 19-9 [12] and persistence of elevated CA 19-9 postresection [13] have been described in lymphoepithelial cysts, none of our patients had such abnormal levels. Thus, we believe that this marker has no utility in the clinical assessment of these cystic lesions [14] .…”

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confidence: 69%

Lymphoepithelial cysts and cystic lymphangiomas: Under-recognized benign cystic lesions of the pancreas

Konstantinidis

Kambadakone

Catalano

et al. 2014

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Contrast enhanced computed tomography demonstrated that the cysts had thin walls, without calcifications, pancreatic duct dilation or pancreatic parenchyma invasion. Endoscopic ultrasound with fine needle aspiration (EUS/FNA) confirmed the diagnosis of a lymphoepithelial cyst in 3 patients, one of whom was spared an operation and continues to do well after 6 years. Eleven patients had a resection: 3 pancreaticoduodenectomies, 7 distal pancreatectomies, and 1 enucleation. The median size of the cysts was 3 cm (range 2-20 cm). At a median follow-up of 57 mo no recurrences or other pancreas-related conditions occurred. CONCLUSION:Lymphoepithelial cysts and cystic lymphangiomas of the pancreas can be diagnosed with a combination of contrast-enhanced computed tomography scans and EUS/FNA. If the lesion is asymptomatic, an operation might be avoided. Key words: Lymphoepithelial cysts; Cystic lymphangiomas; Pancreas; Asymptomatic cysts; Benign cystic lesions of the pancreas Core tip: Lymphoepithelial cysts and cystic lymphangiomas of the pancreas represent rare, benign cystic lesions. The experience with their diagnosis and treatment is limited mostly to case reports. This report describes our experience with twelve lymphoepithelial cysts and cystic lymhangiomas of the pancreas, analyzing their clinicopathologic characteristics, the role of contrast enhanced computed tomography and endoscopic ultrasound with fine needle aspiration for their diagnosis with an emphasis on non-surgical management when a correct diagnosis can be established in an asymptomatic patient. METHODS:Retrospective review of clinicopathologic and imaging characteristics of patients diagnosed with lymphoepithelial cysts and cystic lymphangiomas of the pancreas at Massachusetts General Hospital. RESULTS: Twelve patients were identified between

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contrasting

confidence: 69%

Lymphoepithelial cysts and cystic lymphangiomas: Under-recognized benign cystic lesions of the pancreas

Konstantinidis

Kambadakone

Catalano

et al. 2014

WJGS

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“…All patients have been men and ranged from 36 to 73 years of age, similar to the two patients presented here. Yamamoto et al [6] and Hisaoka et al [4] have previously reported serum CA 19-9 elevations in patients with lymphoepithelial cysts. Similarly, Kaiserling et al [9] reported CEA and CA 19-9 elevations in the serum as well as in cyst fluid.…”

Section: Discussionmentioning

confidence: 97%

Radiographic features in lymphoepithelial cyst of the pancreas

et al. 1994

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“…To our knowledge, there have been only 16 pathologically proven case reports in the English literature, many of them reported in the pathology literature [1][2][3][4][5][6][7][8][9][10][11][12][13][14]. We report two cases, with emphasis on the computed tomography (CT) and sonographic findings.…”

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confidence: 88%