Pancreatic endometrial cyst mimics mucinous cystic neoplasm of the pancreas

Pancreatic cysts include a variety of benign, premalignant, and malignant lesions. Endometrial cysts in the pancreas are exceedingly rare lesions that are difficult to diagnose pre-operatively. This report describes the findings in a 43-year-old patient with a recent episode of acute pancreatitis wh...

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Autores principales: Mederos, Michael A, Villafañe, Nicole, Dhingra, Sadhna, Farinas, Carlos, McElhany, Amy, Fisher, William E, Van Buren II, George
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5311101/
https://www.ncbi.nlm.nih.gov/pubmed/28246486
http://dx.doi.org/10.3748/wjg.v23.i6.1113
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author Mederos, Michael A
Villafañe, Nicole
Dhingra, Sadhna
Farinas, Carlos
McElhany, Amy
Fisher, William E
Van Buren II, George
author_facet Mederos, Michael A
Villafañe, Nicole
Dhingra, Sadhna
Farinas, Carlos
McElhany, Amy
Fisher, William E
Van Buren II, George
author_sort Mederos, Michael A
collection PubMed
description Pancreatic cysts include a variety of benign, premalignant, and malignant lesions. Endometrial cysts in the pancreas are exceedingly rare lesions that are difficult to diagnose pre-operatively. This report describes the findings in a 43-year-old patient with a recent episode of acute pancreatitis who presented with a large cyst in the tail of the pancreas. Imaging demonstrated a loculated pancreatic cyst, and cyst fluid aspiration revealed an elevated amylase and carcinoembryonic antigen. The patient experienced an interval worsening of abdominal pain, fatigue, diarrhea, and a 15-pound weight loss 3 mo after the initial episode of pancreatitis. With concern for a possible pre-malignant lesion, the patient underwent a laparoscopic distal pancreatectomy with splenectomy, which revealed a 16 cm × 12 cm × 4 cm lesion. Final histopathology was consistent with an intra-pancreatic endometrial cyst. Here we discuss the overlapping imaging and laboratory features of pancreatic endometrial cysts and mucinous cystic neoplasms of the pancreas.
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spelling pubmed-53111012017-02-28 Pancreatic endometrial cyst mimics mucinous cystic neoplasm of the pancreas Mederos, Michael A Villafañe, Nicole Dhingra, Sadhna Farinas, Carlos McElhany, Amy Fisher, William E Van Buren II, George World J Gastroenterol Case Report Pancreatic cysts include a variety of benign, premalignant, and malignant lesions. Endometrial cysts in the pancreas are exceedingly rare lesions that are difficult to diagnose pre-operatively. This report describes the findings in a 43-year-old patient with a recent episode of acute pancreatitis who presented with a large cyst in the tail of the pancreas. Imaging demonstrated a loculated pancreatic cyst, and cyst fluid aspiration revealed an elevated amylase and carcinoembryonic antigen. The patient experienced an interval worsening of abdominal pain, fatigue, diarrhea, and a 15-pound weight loss 3 mo after the initial episode of pancreatitis. With concern for a possible pre-malignant lesion, the patient underwent a laparoscopic distal pancreatectomy with splenectomy, which revealed a 16 cm × 12 cm × 4 cm lesion. Final histopathology was consistent with an intra-pancreatic endometrial cyst. Here we discuss the overlapping imaging and laboratory features of pancreatic endometrial cysts and mucinous cystic neoplasms of the pancreas. Baishideng Publishing Group Inc 2017-02-14 2017-02-14 /pmc/articles/PMC5311101/ /pubmed/28246486 http://dx.doi.org/10.3748/wjg.v23.i6.1113 Text en ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Case Report
Mederos, Michael A
Villafañe, Nicole
Dhingra, Sadhna
Farinas, Carlos
McElhany, Amy
Fisher, William E
Van Buren II, George
Pancreatic endometrial cyst mimics mucinous cystic neoplasm of the pancreas
title Pancreatic endometrial cyst mimics mucinous cystic neoplasm of the pancreas
title_full Pancreatic endometrial cyst mimics mucinous cystic neoplasm of the pancreas
title_fullStr Pancreatic endometrial cyst mimics mucinous cystic neoplasm of the pancreas
title_full_unstemmed Pancreatic endometrial cyst mimics mucinous cystic neoplasm of the pancreas
title_short Pancreatic endometrial cyst mimics mucinous cystic neoplasm of the pancreas
title_sort pancreatic endometrial cyst mimics mucinous cystic neoplasm of the pancreas
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5311101/
https://www.ncbi.nlm.nih.gov/pubmed/28246486
http://dx.doi.org/10.3748/wjg.v23.i6.1113
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