Laparoscopic Distal Pancreatectomy for a Pancreatic Lymphoepithelial Cyst: Case Report and Review of Literature

Authors

  • Hiroaki Yanagimoto Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan
  • Sohei Satoi Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan
  • Hideyoshi Toyokawa Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan
  • Tomohisa Yamamoto Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan
  • Satoshi Hirooka Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan
  • Rintaro Yui Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan
  • So Yamaki Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan
  • Kazumasa Yoshida Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan
  • George Wada Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan
  • Masashi Okuno Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan
  • Kentaro Inoue Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan
  • Taku Michiura Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan
  • Yoichi Matsui Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan
  • Yorika Nakano Department of Pathology, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan
  • Noriko Sakaida Department of Pathology, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan
  • A-Hon Kwon Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan

DOI:

https://doi.org/10.6092/1590-8577/1738

Keywords:

Laparoscopy, Pancreatectomy, Pancreatic Cyst

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.

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Author Biographies

Hiroaki Yanagimoto, Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan

Department of Surgery

Sohei Satoi, Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan

Department of Surgery

Hideyoshi Toyokawa, Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan

Department of Surgery

Tomohisa Yamamoto, Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan

Department of Surgery

Satoshi Hirooka, Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan

Department of Surgery

Rintaro Yui, Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan

Department of Surgery

So Yamaki, Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan

Department of Surgery

Kazumasa Yoshida, Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan

Department of Surgery

George Wada, Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan

Department of Surgery

Masashi Okuno, Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan

Department of Surgery

Kentaro Inoue, Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan

Department of Surgery

Taku Michiura, Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan

Department of Surgery

Yoichi Matsui, Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan

Department of Surgery

Yorika Nakano, Department of Pathology, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan

Department of Pathology

Noriko Sakaida, Department of Pathology, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan

Department of Pathology

A-Hon Kwon, Department of Surgery, Kansai Medical University, Hirakata Hospital. Shinmachi, Hirakata, Japan

Department of Surgery

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.

Pancreatic lymphoepithelial cyst

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Published

2013-11-10

How to Cite

Yanagimoto, H., Satoi, S., Toyokawa, H., Yamamoto, T., Hirooka, S., Yui, R., … Kwon, A.-H. (2013). Laparoscopic Distal Pancreatectomy for a Pancreatic Lymphoepithelial Cyst: Case Report and Review of Literature. JOP. Journal of the Pancreas, 14(6), 664–668. https://doi.org/10.6092/1590-8577/1738

Issue

Vol. 14 No. 6 (2013): November - p. 603-693

Section

CASE REPORTS

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