Ciliated Foregut Cyst of the Pancreas: Another Differential in the Diagnosis of Cystic Pancreatic Lesions
DOI:
https://doi.org/10.6092/1590-8577/2859Keywords:
Pancreatectomy, Pancreatic Cyst, Pancreatic NeoplasmsAbstract
Context With the more frequent use of cross sectional imaging, the detection of cystic pancreatic incidentalomas has become a relatively common entity. The commonest cystic incidentalomas are neoplastic. Pseudocysts are the most single common pathological entity. Foregut cystic lesions as a pathological entity are rare but mostly observed in the mediastinum. Ciliated foregut cysts of the pancreas are very rare and an extremely uncommon cause of a cystic lesion within the pancreas. Case report We present herewith an uncommon case of a large cystic lesion, confirmed as a ciliated foregut cyst on final histology arising from the body and tail of the pancreas. The lesion was very effectively treated with a laparoscopic distal pancreatectomy and splenectomy. Conclusion The rarity of the lesion makes the case worth reporting.
Image: Distal pancreatectomy/splenectomy specimen.
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References
Vyas S, Markar S, Ezzat TM, Ajit A. Cystic lesions of the pancreas: current trends in approach and management. Postgrad Med J. 2011; 87: 207-14. [PMID: 21186195]
Planner AC, Anderson EM, Slater A, Phillips-Hughes J, Bungay HK, Betts M. An evidence-based review for the management of cystic pancreatic lesions. Clin Radiol. 2007; 62: 930-7. 2007. [PMID: 17765457]
Zhang XM, Mitchell DG, Dohke M, Holland GA, Parker L. Pancreatic cysts: depiction on single-shot fast spin-echo MR images. Radiology. 2002; 223: 547-53. [PMID: 11997566]
Campbell F, Azadeh B. Cystic neoplasms of the exocrine pancreas. Histopathology. 2008; 52: 539-51. [PMID: 17903202]
Adsay NV. Cystic neoplasia of the pancreas: pathology and biology. J Gastrointest Surg. 2008; 12: 401-4. [PMID: 17957438]
Gómez Mateo Mdel C, Muñoz Forner E, Sabater Ortí L, Ferrández Izquierdo A. Foregut cystic malformations in the pancreas. Are definitions clearly established? JOP. 2011; 12: 420-4. [PMID: 21737908]
Woon CS, Pambuccian SE, Lai R, Jessurun J, Gulbahce HE. Ciliated foregut cyst of pancreas: cytologic findings on endoscopic ultrasound-guided fine-needle aspiration. Diagn Cytopathol. 2007; 35: 433-8. [PMID: 17580355]
Sharma S, Nezakatgoo N, Sreenivasan P, Vanatta J, Jabbour N. Foregut cystic developmental malformation: new taxonomy and classification--unifying embryopathological concepts. Indian J Pathol Microbiol. 2009; 52: 461-72. [PMID: 19805948]
Khalid A, Brugge W. ACG practice guidelines for the diagnosis and management of neoplastic pancreatic cysts. Am J Gastroenterol. 2007; 102: 2339-49. [PMID: 17764489]
Andersson R, Lindell G, Cwikiel W, Dawiskiba S. Retroperitoneal bronchogenic cyst as a differential diagnosis of pancreatic mucinous cystic tumor. Dig Surg. 2003; 20: 55-7. [PMID: 12637807]
Dua KS, Vijayapal AS, Kengis J, Shidham VB. Ciliated foregut cyst of the pancreas: preoperative diagnosis using endoscopic ultrasound guided fine needle aspiration cytology--a case report with a review of the literature. Cytojournal. 2009; 6: 22. [PMID: 19876385]; [PMC: 2762695]
