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Clinical Journal of Gastroenterology

, Volume 5, Issue 6, pp 388–392 | Cite as

A case of lymphoepithelial cyst of pancreas with unique “cheerios-like” appearance in EUS

  • Wen Gao
  • Atsuhiro Masuda
  • Ippei Matsumoto
  • Makoto Shinzeki
  • Hideyuki Shiomi
  • Mamoru Takenaka
  • Nobuyuki Matsuki
  • Eiji Funatsu
  • Tsuyoshi Fujita
  • Yoshifumi Arisaka
  • Takanobu Hayakumo
  • Shigeo Hara
  • Yonson Ku
  • Takeshi Azuma
  • Hiromu KutsumiEmail author
Case Report

Abstract

Lymphoepithelial cyst (LEC) of the pancreas is a rare benign lesion, which is difficult to diagnose preoperatively. We describe a case of a 60-year-old male, incidentally diagnosed as having LEC of the pancreas, which was managed by laparoscopic distal pancreatectomy. Most of the reported cases of LEC were asymptomatic and diagnosed incidentally. A high index of suspicion under EUS may help in making a diagnosis and avoiding unnecessary surgery in asymptomatic patients. In particular, the unique “cheerios-like” appearance of the lesion in EUS, which was also found in this case, might be helpful in the differential diagnosis of pancreatic cystic lesions.

Keywords

Lymphoepithelial cyst of pancreas EUS Cheerios-like” appearance 

Notes

Conflict of interest

Authors declare no conflict of interests for this article.

References

  1. 1.
    Yamaguchi T, Takahashi H, Kagawa R, Takeda R, Sakata S, Yamamoto M, et al. Lymphoepithelial cyst of the pancreas associated with elevated CA 19–9 levels. J Hepatobiliary Pancreat Surg. 2008;15:652–4.PubMedCrossRefGoogle Scholar
  2. 2.
    Matrone A, Russo M, Mollica C, Lombardi D, Lombardi G, Maurea S, et al. Lymphoepithelial pancreatic cyst: an atypical benign pancreatic mass presenting with a “cheerios-like” appearance. JOP. 2010;11:170–2.PubMedGoogle Scholar
  3. 3.
    Laffan TA, Horton KM, Klein AP, Berlanstein B, Shigelman SS, Kawamoto S, et al. Prevalence of unsuspected pancreatic cysts on MDCT. Am J Roentgenol. 2008;191:802–7.CrossRefGoogle Scholar
  4. 4.
    Luchtrath H, Schriefers KH. A pancreatic cyst with features of a so-called branchiogenic cyst. Pathologe. 1985;6:217–9.PubMedGoogle Scholar
  5. 5.
    Adsay NV, Hasteh F, Cheng JD, Bejarano PA, Lauwers GY, Batts KP, et al. Lymphoepithelial cysts of the pancreas: a report of 12 cases and a review of the literature. Mod Pathol. 2002;15:492–501.PubMedCrossRefGoogle Scholar
  6. 6.
    Truong LD, Rangdaeng S, Jordan PH Jr. Lymphoepithelial cyst of the pancreas. Am J Surg Pathol. 1987;11:899–903.PubMedCrossRefGoogle Scholar
  7. 7.
    Nasr J, Sanders M, Fasanella K, Khalid A, McGrath K. Lymphoepithelial cysts of the pancreas: an EUS case series. Gastrointest Endosc. 2008;68:170–3.PubMedCrossRefGoogle Scholar
  8. 8.
    Hirooka Y, Goto H, Itoh A, Hashimoto S, Niwa K, Ishikawa H, et al. Case of intraductal papillary mucinous tumor in which endosonography-guided fine-needle aspiration biopsy caused dissemination. J Gastroenterol Hepatol. 2003;18:1323–4.PubMedCrossRefGoogle Scholar
  9. 9.
    Spence RA, Dasari B, Love M, Kelly B, Taylor M. Overview of the investigation and management of cystic neoplasms of the pancreas. Dig Surg. 2011;28:386–97.PubMedCrossRefGoogle Scholar
  10. 10.
    Ali S, Wilkinson N, Jensen CS, Gerke H. EUS-guided trucut biopsies may enable the diagnosis of lymphoepithelial cysts of the pancreas. Report of two cases. J Pancreas. 2009;10:409–12.Google Scholar

Copyright information

© Springer Japan 2012

Authors and Affiliations

  • Wen Gao
    • 1
    • 4
  • Atsuhiro Masuda
    • 1
  • Ippei Matsumoto
    • 2
  • Makoto Shinzeki
    • 2
  • Hideyuki Shiomi
    • 1
  • Mamoru Takenaka
    • 1
  • Nobuyuki Matsuki
    • 1
  • Eiji Funatsu
    • 1
  • Tsuyoshi Fujita
    • 1
  • Yoshifumi Arisaka
    • 1
  • Takanobu Hayakumo
    • 1
  • Shigeo Hara
    • 3
  • Yonson Ku
    • 2
  • Takeshi Azuma
    • 1
  • Hiromu Kutsumi
    • 1
    Email author
  1. 1.Division of Gastroenterology, Department of Internal Medicine, Graduate School of MedicineKobe UniversityKobeJapan
  2. 2.Division of Hepato-Biliary-Pancreatic Surgery, Department of Surgery, Graduate School of MedicineKobe UniversityKobeJapan
  3. 3.Division of Diagnostic Pathology, Graduate School of MedicineKobe UniversityKobeJapan
  4. 4.Department of GastroenterologyPeking University First HospitalBeijingChina

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