Lymphoepithelial cyst in the pancreas. A case report and review of the literature

Petros V. Anagnostopoulos, Iraklis I. Pipinos, William W. Rose, Robert Elkus

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

Background; Lymphoepithelial cysts of the pancreas constitute a rare clinicopathologic entity. Case Report: We report a case of lymphoepithelial cyst of the pancreas and review the world literature. Results: Lymphoepithelial cysts are true pancreatic cysts lined by squamous epithelium and surrounded by mature lymphoid tissue. The cyst arises typically in middle aged men, and is usually asymptomatic or causes nonspecific abdominal complaints. There is no specific serologic marker for this entity. None of its radiologic characteristics can help differentiate it from other cystic lesions of the pancreas. Fine-needle aspiration cytology may be able to suggest its benign nature and identify it as a true cyst of the pancreas. The outcome after surgical excision is uniformly good with good symptom control and no recurrences. Recommendations: In the symptomatic patient or the asymptomatic patient with acceptable surgical risk a simple cyst excision should be performed after verification of the diagnosis with frozen section. In the asymptomatic patient with a high surgical risk, in whom fine-needle aspiration suggests the diagnosis of a lymphoephithelial cyst, observation of the lesion is recommended. When simple cyst excision is technically not possible, extensive resections/reconstructions should be avoided and drainage/bypass procedures may be considered. Copyright (C) 2000 S. Karger AG, Bassel.

Original languageEnglish (US)
Pages (from-to)309-314
Number of pages6
JournalDigestive Surgery
Volume17
Issue number3
DOIs
Publication statusPublished - Jan 1 2000

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Keywords

  • Lymphoepithelial cysts
  • Pancreas
  • True pancreatic cysts

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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