Laparoscopic Distal Pancreatectomy for a Pancreatic Lymphoepithelial Cyst: Case Report and Review of Literature
Abstract
Context Lymphoepithelial cysts of the pancreas are a rare disease of true pancreatic cysts, the cause of which is unknown. The differential diagnosis is broad and includes many benign and malignant cystic lesions of the pancreas and surrounding organs. A combination of imaging modalities and fine needle aspiration might narrow the differential diagnosis. However, the final diagnosis can only be achieved with certainty after resection of the cyst. Case report The present case report is a lymphoepithelial cyst of the pancreas that was resected laparoscopically. A 53-year-old man was incidentally found to have a cystic tumor in the tail of the pancreas after undergoing an abdominal ultrasound, which showed a 41x33 mm cystic mass in the pancreatic tail. He had no abdominal symptoms. Laparoscopic distal pancreatectomy and splenectomy were performed. Histologic examination revealed a lymphoepithelial cyst. Conclusion Herein, we discuss the diagnostic difficulties and management decisions that face surgeons treating pancreatic cysts.
Image: Pancreatic lymphoepithelial cyst.
Downloads
References
Luchtrath H, Schriefers KH. Pankreaszyste unter dem Bild einer Sogenannten Brachiogenen Zyste. Der Pathologe 1985; 6:217–219.
Truong LD, Rangdaeng S, Jordan PH Jr. Lymphoepithelial cyst of the pancreas. Am J Surg Pathol 1987; 11:899-903. [PMID: 3674287]
Briggs CD, Mann CD, Irving GR, et al. Systematic review of minimally invasive pancreatic resection. J Gastrointest Surg. 2009; 13:1129–1137.
Bassi C, Dervenis C, Butturini G, et al. Postoperative pancreatic fistula: an international study group (ISGPF) definition. Surgery. 2005; 138:8-13.
Sewkani A, Purohit D, Singh V, Jain A, Varshney R, Varshney S. Lymphoepithelial cyst of the pancreas: a rare case report and review of literature. Indian J Surg. 2010 ; 72:427-432.
Truong LD, Stewart MG, Hao H, et al. A comprehensive characterization of lymphoepithelial cyst associated with the pancreas. Am J Surg 1995; 170:27-32.
Mandavilli SR, Port J, Ali SZ. Lymphoepithelial cyst (LEC) of the pancreas: cytomorphology and differential diagnosis on fine-needle aspiration (FNA). Diagn Cytopathol 1999; 20:371-374.
Truong L, Stewart M, Hao H, Yutani CH, Osaka J. A comprehensive characterization of lymphoepithelial cyst associated with the pancreas. Am J Surg 1995; 170:27–32.
Nasr J, Sanders M, Fasanella K, Khalid A, McGrath K. Lymphoepithelial cysts of the pancreas: an EUS case series. Gastrointest Endosc 2008; 68:170-173.
Au-Yong IT, Wemyss-Holden S, Lloyd DM. Laparoscopic distal pancreatectomy for lymphoepithelial cyst of the pancreas. JSLS. 2004; 8:389–390.
Toumi Z, Ammori MB, Al-Habba S, Filobbos R, Ammori BJ. Laparoscopic distal pancreatectomy for a large pancreatic lymphoepithelial cyst: a rare entity. Surg Laparosc Endosc Percutan Tech. 2010; 20:e211-214.
Copyright (c) 2014 Hiroaki Yanagimoto, Sohei Satoi, Hideyoshi Toyokawa, Tomohisa Yamamoto, Satoshi Hirooka, Rintaro Yui, So Yamaki, Kazumasa Yoshida, George Wada, Masashi Okuno, Kentaro Inoue, Taku Michiura, Yoichi Matsui, Yorika Nakano, Noriko Sakaida, A-Hon Kwon
This work is licensed under a Creative Commons Attribution 4.0 International License.
As a member of Publisher International Linking Association, PILA, iMedPub Group’s JOP follows the Creative Commons Attribution License and Scholars Open Access publishing policies. Journal of the Pancreas is the Council Contributor Member of Council of Science Editors (CSE) and following the CSE slogan Education, Ethics, and Evidence for Editors.