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...
Autores principales: | , , , , , , |
---|---|
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 |
_version_ | 1782507967943278592 |
---|---|
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. |
format | Online Article Text |
id | pubmed-5311101 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT mederosmichaela pancreaticendometrialcystmimicsmucinouscysticneoplasmofthepancreas AT villafanenicole pancreaticendometrialcystmimicsmucinouscysticneoplasmofthepancreas AT dhingrasadhna pancreaticendometrialcystmimicsmucinouscysticneoplasmofthepancreas AT farinascarlos pancreaticendometrialcystmimicsmucinouscysticneoplasmofthepancreas AT mcelhanyamy pancreaticendometrialcystmimicsmucinouscysticneoplasmofthepancreas AT fisherwilliame pancreaticendometrialcystmimicsmucinouscysticneoplasmofthepancreas AT vanbureniigeorge pancreaticendometrialcystmimicsmucinouscysticneoplasmofthepancreas |