Year 2020 / Volume 112 / Number 6
Letter
Apropos of a case of pancreatic lymphoepithelial cyst: importance of the preoperative diagnosis by ecoendoscopy

509

DOI: 10.17235/reed.2020.6605/2019

Amparo Roa Colomo, Alicia Martín-Lagos Maldonado, Javier Esquivias López-Cuervo,

Abstract
The case was a 75-year-old female with dyspeptic symptoms of a 2 month duration. There was a polycystic lesion at the level of the uncinate pancreatic process of 44 x 42 x 34 mm on abdominal ultrasound and MRI, which caused a slight dilation of the main pancreatic duct. EUS was performed that identified a multicystic formation of 25x36 mm in the pancreatic body and FNA was performed of the lesion. The cytological analysis identified squamous epithelial cells with lymphoid tissue, which was compatible with a lymphoepithelial cyst, with no evidence of cell atypia or other signs of malignancy. Radiological control and monitoring of the lesion was performed and it has remained stable for 2 years.
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References
1. Ryu DH, Sung RH, Kang MH, et al. Lymphoepithelial cyst of the pancreas mimicking malignant cystic tumor: report of a case. J Hepatobiliary Pancreat Surg 2015; 19: 129-132
2. Arumugam P, Fletcher N, Kyriakides C, et al. Lymphoepithelial cyst of the pancreas. Case Rep Gastroenterol 2016; 10: 181-192
3. Fujita K, Fujimoto M, Terajima H, et al. Pancreatic lymphoepithelial cyst mimicking mucinous cystic neoplasm. Journal of Gastroenterology and Hepatology 2015; 30(2): 235
4. Dalal KS, DeWitt JM, Sherman S, et al. Endoscopic ultrasound characteristics of pancreatic lymphoepithelial cysts: A case series from a large referral center. Endosc Ultrasound 2016; 5: 248-53
5. Lariño-Noia J, de-la-Iglesia D, Iglesias-García J; et al. Endoscopic ultrasound cytologic brushing vs endoscopic ultrasound-fine needle aspiration for cytological diagnosis of cystic pancreatic lesions. A multicenter, randomized open-label trial. Rev Esp Enferm Dig 2018;110(8):478-484.
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Roa Colomo A, Martín-Lagos Maldonado A, Esquivias López-Cuervo J. Apropos of a case of pancreatic lymphoepithelial cyst: importance of the preoperative diagnosis by ecoendoscopy. 6605/2019


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Publication history

Received: 02/09/2019

Accepted: 17/10/2019

Online First: 04/06/2020

Published: 08/06/2020

Article revision time: 10 days

Article Online First time: 276 days

Article editing time: 280 days


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