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Lymphoepithelial cysts and cystic lymphangiomas: Underrecognized benign cystic lesions of the pancreas

World Journal of Gastrointestinal Surgery 2014年第7期6卷 136-141页

作者： Ioannis T Konstantinidis Avinash Kambadakone Onofrio A Catalano Dushyant V Sahani vikram deshpe David G Forcione Jennifer A Wargo Carlos Fernandez-del Castillo Keith D Lillemoe Andrew L Warshaw Cristina R Ferrone Departments of Surgery Massachusetts General HospitalBoston MA 02114 United States Department of Surgery University of ArizonaTucson AZ 85724 United States Departments of Radiology Massachusetts General Hos-pitalBoston MA 02114 United States Department of Radiology University of Napoli80138 Napoli Italy Departments of Pathology Massachusetts General HospitalBoston MA 02114 United States Departments of Gastroenterology Massachu-setts General HospitalBoston MA 02114 United States

AIM: To identify their diagnostic and prognostic clinical characteristics in a large ***: Retrospective review of clinicopathologic and imaging characteristics of patients diagnosed with lymphoepithelial cysts and cystic lymphangiomas of the pancreas at Massachusetts General ***: Twelve patients were identified between 1/1/1997 and 8/1/2007. Their median age was 55.5 years(range 19-78 years), and 6 were females. The le-sion was incidentally discovered in half of the *** enhanced computed tomography demonstrat-ed that the cysts had thin walls, without calcifications, pancreatic duct dilation or pancreatic parenchyma inva-sion. Endoscopic ultrasound with fine needle aspiration(EUS/FNA) confirmed the diagnosis of a lymphoepithe-lial cyst in 3 patients, one of whom was spared an op-eration and continues to do well after 6 years. Eleven patients had a resection: 3 pancreaticoduodenecto-mies, 7 distal pancreatectomies, and 1 enucleation. The median size of the cysts was 3 cm(range 2-20 cm). At a median follow-up of 57 mo no recurrences or other pancreas-related conditions ***: Lymphoepithelial cysts and cystic lymphangiomas of the pancreas can be diagnosed with a combination of contrast-enhanced computed tomog-raphy scans and EUS/FNA. If the lesion is asymptom-atic, an operation might be avoided.

关键词： Lymphoepithelial cysts Cystic lymphangio-mas Pancreas Asymptomatic cysts Benign cystic le-sions of the pancreas

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