Lymphoepithelial cyst of uncinated process of the pancreas associated with chronic cholecystitis: Case report and review of literature. (August 2022)

• Record Type: Journal Article
• Authors: Pereira da Costa, Aline; Lopes de Castro, Gustavo; Lourenço Lira, Daniel; Figueiredo, Higino Felipe; Castro Cláudio, Jozyel; Alexandre, Matheus Alecrim
• Is Part Of: Annals of medicine and surgery. Volume 80(2022)
• Publication Date: 2022-08
• Subjects: Lymphoepithelial cyst -- Pancreas -- Laparoscopy -- Abdominal pain; Surgery -- Periodicals; Medicine -- Periodicals; General Surgery -- Periodicals; Education, Medical -- Periodicals; Periodicals; 617
• DOI: 10.1016/j.amsu.2022.104117
• Languages: English
• ISSNs: 2049-0801

Abstract

Abstract: Introduction: Lymphoepithelial cysts (LECs) are extremely uncommon disorders with pancreatic affection. It is predominant in middle-aged men and may be located in any portion of the pancreas. Differential diagnosis with malignant conditions is difficult. Case presentation: A 53-year-old woman with abdominal pain and cystic lesion involving pancreas managed thorugh laparoscopic excision and colecistectomy due to chronic cholecystitis. Discussion and conclusion: LECs are a type of true cysts that may occur in any portion of the pancreas, most common sites are the tail and body, with unclear pathogenesis. Accuracy in diagnosis with proper image investigation is necessary to separate surgical cases from conservatively managed. Highlights: Lymphoepithelial cysts are uncommon conditions with pancreatic affection. Pancreatic lymphoepithelial cysts are benign cysts with higher predominance in middle-aged men (4:1). It may affect any portion of the pancreas, however the tail or body are the most common sets. Its diagnosis it is only possible through histopathological analysis and neoplasms must be included as differential diagnosis.