Solitary true cyst of the pancreas in two adults: analysis of cyst fluid and review of the literature

Autor: Noriyuki Nishino, Satoshi Tanno, Yutaka Kohgo, Tsuneshi Fujii, Tsutomu Izawa, Hitoshi Ura, Takeshi Obara, Arimi Sasaki
Rok vydání: 1998
Předmět:
Zdroj: American Journal of Gastroenterology. 93:1972-1975
ISSN: 0002-9270
DOI: 10.1111/j.1572-0241.1998.00558.x
Popis: Solitary true cyst of the pancreas in adults is extremely rare. We report two adult cases of solitary true cyst of the pancreas. In a 53-yr-old woman there was discovered, incidentally, a unilocular cyst of 7.0 x 6.5 cm in size in the tail of the pancreas that was noted on abdominal US and CT scan. A 16-yr-old boy presented with abdominal pain, and an abdominal US and CT scan revealed a 6.5 cm cystic mass located in the tail of the pancreas. Both patients underwent distal pancreatectomy. Histologically, the cyst was lined with flattened cuboidal and squamous epithelium without morphological alterations. Analysis of the cyst fluid revealed high CA 19-9 (>100,000 U/L) and Span-1 levels (>60,000 U/L) in both cases. Immunohistochemically, the lining epithelial cells of true cyst were positive for CA 19-9 staining. The clinicopathological features of solitary true cyst of the pancreas in adults are briefly reviewed.
Databáze: OpenAIRE