Korean J Med > Volume 76(1); 2009 > Article
The Korean Journal of Medicine 2009;76(1):54-58.
Lymphoepithelial cyst of the pancreas: A case report
Ik-Soo Park, Yun Hee Chung, Ji Young Choi, Gui Jun Yun, Sang Soo Lee, Myung-Hwan Kim, Sung Koo Lee
췌장의 림프상피성 낭종 1예와 국내 문헌의 고찰
박익수, 정윤희, 최지영, 윤귀준, 이상수, 김명환, 이성구
Abstract
Lymphoepithelial cysts of the pancreas, which are lined by squamous epithelium and surrounded by mature lymphoid tissue, represent a rare clinicopathologic entity of cystic lesions of the pancreas and true pancreatic cysts. Here, we report a case of lymphoepithelial cyst of the pancreas and a review of the related Korean literature. A 58-year-old man presented to our hospital with an asymptomatic pancreatic mass and no remarkable medical history except hypertension. Physical examination and laboratory analyses showed no abnormalities. Ultrasonography (US) revealed a cystic lesion with heterogeneous internal echo within the body of the pancreas, and computed tomography (CT) revealed a low-density lesion (2.3×1.5 cm) with well-defined margins and lobulating contour. To further characterize the mass, a biopsy was collected via endoscopic ultrasonography (EUS)-guided fine-needle aspiration. Histological examination revealed fibrous tissue and epithelial cells, but was insufficient for a definitive diagnosis. Laparotomy revealed that the mass was composed of keratinizing squamous epithelial cells surrounded by lymphoid tissue, thereby confirming the diagnosis of lymphoepithelial cyst of the pancreas. (Korean J Med 76:S54-S58, 2009)
Key Words: Lymphoepithelial cyst; Pancreas; Pancreatic cyst


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