EUS-FNA diagnosis of a pancreatic lymphoepithelial cyst: three-year imaging follow-up

Autor:	Foley, Kieran G, Christian, Adam, Roberts, S Ashley
Rok vydání:	2012
Předmět:	Male Humans Cysts Endosonography Pancreas Middle Aged Pancreatic Cyst Tomography X-Ray Computed Endoscopic Ultrasound-Guided Fine Needle Aspiration Follow-Up Studies
Zdroj:	JOP : Journal of the pancreas. 13(6)
ISSN:	1590-8577
Popis:	Context Lymphoepithelial cyst of the pancreas is a rare benign lesion that should be managed conservatively. Similarity has been described between lymphoepithelial cyst and a branchial cyst of the neck. Case report We report a 58-year-old man presenting with left sided abdominal pain initially thought to be renal colic. CT of the abdomen revealed a 3.5 cm lesion in the pancreatic tail. A laparoscopic distal pancreatectomy was initially planned for definitive treatment; however, endoscopic ultrasound guided fine needle aspiration (EUS-FNA) was performed prior to surgery as he had multiple co-morbidities. This confirmed the diagnosis of lymphoepithelial cyst, a benign lesion. Unnecessary high-risk surgery was therefore avoided. Three year follow-up has shown no adverse effects and the lymphoepithelial cyst is unchanged in size and appearance. Conclusion EUS-FNA is a reliable method to confidently diagnose lymphoepithelial cyst and therefore should be used to exclude malignancy, thus avoiding unnecessary surgery with potential complications. JOP. Journal of the Pancreas, Vol 13, N° 6 (2012): November - p. 651-719
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fca7a62566fd7f2504914035823f2344 https://pubmed.ncbi.nlm.nih.gov/23183400 Zobrazit plný text záznamu