Case report of pancreatic dermoid cyst: can fine needle aspiration make the diagnosis?

Autor:	Lyons DA; Division of Surgical Oncology, Department of Surgery, University of Missouri-Columbia. Columbia, MO, USA. dlyons9715@gmail.com., Coberly EA, Hammoud GM, Nicholl MB
Jazyk:	angličtina
Zdroj:	JOP : Journal of the pancreas [JOP] 2013 Nov 10; Vol. 14 (6), pp. 653-6. Date of Electronic Publication: 2013 Nov 10.
DOI:	10.6092/1590-8577/1787
Abstrakt:	Context: Pancreatic dermoid cysts are rare, benign, germ cell tumors and part of the differential diagnosis for cystic neoplasms of the pancreas. Case Report: A 35-year-old man presented with an incidentally discovered, 2 cm cystic pancreatic neoplasm of the pancreatic tail identified on CT scan. Endoscopic ultrasound (EUS) revealed a complex, honeycomb lesion. Fine needle aspiration (FNA) yielded a sample of whitish, necrotic material containing histiocytes, benign epithelial cells, and lymphocytes. After distal pancreatectomy and splenectomy was performed, histology revealed a cyst lined by stratified squamous epithelium with benign sebaceous units consistent with a pancreatic dermoid cysts. Discussion: Although axial imaging reliably detects cystic neoplasms of the pancreas, diagnostic criteria for rare lesions are lacking; therefore alternative modalities such as EUS/FNA can be utilized. This case report highlights the EUS and FNA findings associated with pancreatic dermoid cysts.
Databáze:	MEDLINE
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