Abstract
This report documents the findings of two rare cases of mature cystic teratoma of the pancreas. Although they could not be diagnosed preoperatively, our retrospective report suggests that the combined diagnosis of ultrasonography (US), enhanced computed tomography (CT), and magnetic resonance cholangiopancreatography (MRCP) might allow differentiation from other cystic lesions such as mucinous cystic tumors (MCTs) and intraductal papillary–mucinous tumors (IPMTs). Since the cystic teratomas were both filled with keratinous and sebaceous material, they were echogenic, appearing as solid masses on US. Enhanced CT showed their cystic nature, with values slightly higher than water, and MRCP revealed defects of internal signals.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
AA Kerr (1918) ArticleTitleCysts and pseudocysts of the pancreas Surg Gynecol Obstet 27 40–4
WA Dennis (1923) ArticleTitleDermoid cyst of the pancreas Surg Clin N Am 3 1319–22
JL DeCourcy (1943) ArticleTitleDermoid cyst of pancreas Ann Surg 118 394–5
II Iovchec (1972) ArticleTitleSuppurative dermoid cyst of the pancreas Vestn Khir 108 124
DV Pomosov FS Shpit’ko MA Volianiuk (1973) ArticleTitleDermoid cyst of the pancreas in a child Vestn Khir 110 92–3
S Assawamatiyanont AD King SuffixJr (1977) ArticleTitleDermoid cyst of the pancreas Am Surg 43 503–4 Occurrence Handle889185
A Da Lazaro Silva M Moreno SuffixJr (1984) ArticleTitleSurgery of pancreatic dermoid cyst with ligature of superior mesenteric vein Arch Gastroenterol 21 183–6
B Bowen PR Ros MJ McCarthy WW Olmsted BM Hjermstad (1987) ArticleTitleGastrointestinal teratomas: CT and US appearance with pathologic correlation Radiology 162 431–3 Occurrence Handle3541031
M Mester HJ Trajber CC Compton HAS de Camargo SuffixJr C de Almeida HC Hoover SuffixJr (1990) ArticleTitleCystic teratomas of the pancreas Arch Surg 125 1215–8 Occurrence Handle2205176
BJM Vermeulen S Widgren V Gur P Meyer C Iselin A Rohner (1990) ArticleTitleDermoid cyst of the pancreas Gastroenterol Clin Biol 14 1023–5 Occurrence Handle2289662
D Jentschura MH Bohrer G Geiger (1990) ArticleTitlePankreasnahe Dermoidcyste Chirurg 61 548–9 Occurrence Handle2203644
V Markovsky VL Russin (1993) ArticleTitleFine-needle aspiration of dermoid cyst of the pancreas: a case report Diagn Cytopathol 9 66–9 Occurrence Handle8458286
JE Jacobs BJ Dinsmore (1993) ArticleTitleMature cystic teratoma of the pancreas: sonographic and CT findings AJR 160 523–4 Occurrence Handle8430545
C Iacono G Zamboni R Di Marcello M Zicari M Maran E Montresor et al. (1993) ArticleTitleDermoid cyst of the head of the pancreas Int J Pancreatol 14 269–73 Occurrence Handle7906703
JM Fernandez-Cebrian P Carda V Morales J Galindo (1998) ArticleTitleDermoid cyst of the pancreas: a rare cystic neoplasm Hepato-Gastroenterology 45 1874–6 Occurrence Handle9840167
NV Adsay F Hasteh JD Cheng DS Klimstra (2000) ArticleTitleSquamous-lined cysts of the pancreas: lymphoepithelial cysts, dermoid cysts (teratomas), and accessory-splenic epidermoid cysts Seminars Diagn Pathol 17 56–65
H Tateyama T Tada T Murase S Fujitake T Eimoto (1998) ArticleTitleLymphoepithelial cyst and epidermoid cyst of the accessory spleen in the pancreas Mod Pathol 11 1171–7 Occurrence Handle9872647
SR Mandavilli J Port SZ Ali (1999) ArticleTitleLymphoepithelial cyst (LEC) of the pancreas: cytomorphology and differential diagnosis on fine-needle aspiration (FNA) Diagn Cytopathol 20 371–4 Occurrence Handle10.1002/(SICI)1097-0339(199906)20:6<371::AID-DC8>3.0.CO;2-S Occurrence Handle10352910
J Liu HJC Shin I Rubenchic E Lang S Lahoti GA Staerkel (1999) ArticleTitleCytologic features of lymphoepithelial cyst of the pancreas: two preoperatively diagnosed cases based on fine-needle aspiration Diagn Cytopathol 21 346–50 Occurrence Handle10.1002/(SICI)1097-0339(199911)21:5<346::AID-DC10>3.0.CO;2-I Occurrence Handle10527483
T Furukawa K Ohhashi N Toda K Kurimoto K Hibino Y Nitta et al. (1996) ArticleTitleEpidermoid cyst derived from an accessory spleen in the pancreas (in Japanese) Suizo (Pancreas) 11 304–10
AL Cubilla PJ Fitzgerald (1984) Tumors of exocrine pancres Atlas of tumor pathology. 2nd series. Fascicle 19 Armed Forces Institute of Pathology Washington, DC 53–9
GF Murphy DE Elder (1991) Non-melanocytic tumors of the skin Atlas of tumor pathology. 3rd series. Fascicle 1 Armed Forces Institute of Pathology Washington, DC 131–2
N Kirkham (1997) Tumors and cysts of the epidermis DE Elder R Elenitsas C Jaworsky B Johnson (Eds) Lever’s histopathology of the skin Lippincott-Raven New York 697–9
Author information
Authors and Affiliations
About this article
Cite this article
Seki, M., Ninomiya, E., Aruga, A. et al. Image-diagnostic features of mature cystic teratomas of the pancreas: report on two cases difficult to diagnose preoperatively. J Hepatobiliary Pancreat Surg 12, 336–340 (2005). https://doi.org/10.1007/s00534-005-0994-z
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s00534-005-0994-z