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Epidermoid cyst in an intrapancreatic accessory spleen with abnormally high CEA level in cyst fluid: a case report

Epidermoid cyst in an intrapancreatic accessory spleen is a rare benign lesion that is difficult to diagnose preoperatively. Cyst fluid analysis for biochemistry markers has been widely used to aid the diagnosis of pancreatic cysts. A high cyst fluid carcinoembryonic antigen (CEA) level (>800 ng/...

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Autores principales: Lo, Chun-hai, Tsang, Po-man, Cheng, Shui-ying, Ling, Cheuk-nam, Ho, Cheuk-lam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hospital Universitário da Universidade de São Paulo 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9037849/
https://www.ncbi.nlm.nih.gov/pubmed/35496737
http://dx.doi.org/10.4322/acr.2021.369
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author Lo, Chun-hai
Tsang, Po-man
Cheng, Shui-ying
Ling, Cheuk-nam
Ho, Cheuk-lam
author_facet Lo, Chun-hai
Tsang, Po-man
Cheng, Shui-ying
Ling, Cheuk-nam
Ho, Cheuk-lam
author_sort Lo, Chun-hai
collection PubMed
description Epidermoid cyst in an intrapancreatic accessory spleen is a rare benign lesion that is difficult to diagnose preoperatively. Cyst fluid analysis for biochemistry markers has been widely used to aid the diagnosis of pancreatic cysts. A high cyst fluid carcinoembryonic antigen (CEA) level (>800 ng/mL) is said to be useful in distinguishing intraductal papillary mucinous neoplasm (IPMN) and mucinous cystic neoplasm (MCN) from other non-mucinous cysts. We herein report a case of epidermoid cyst in an intrapancreatic accessory spleen with abnormally high CEA level (3582 ng/mL) in the cyst fluid, suggesting a potential pitfall in using cyst fluid CEA level as an indicator of mucinous neoplasms.
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spelling pubmed-90378492022-04-29 Epidermoid cyst in an intrapancreatic accessory spleen with abnormally high CEA level in cyst fluid: a case report Lo, Chun-hai Tsang, Po-man Cheng, Shui-ying Ling, Cheuk-nam Ho, Cheuk-lam Autops Case Rep Clinical Case Report and Review Epidermoid cyst in an intrapancreatic accessory spleen is a rare benign lesion that is difficult to diagnose preoperatively. Cyst fluid analysis for biochemistry markers has been widely used to aid the diagnosis of pancreatic cysts. A high cyst fluid carcinoembryonic antigen (CEA) level (>800 ng/mL) is said to be useful in distinguishing intraductal papillary mucinous neoplasm (IPMN) and mucinous cystic neoplasm (MCN) from other non-mucinous cysts. We herein report a case of epidermoid cyst in an intrapancreatic accessory spleen with abnormally high CEA level (3582 ng/mL) in the cyst fluid, suggesting a potential pitfall in using cyst fluid CEA level as an indicator of mucinous neoplasms. Hospital Universitário da Universidade de São Paulo 2022-04-14 /pmc/articles/PMC9037849/ /pubmed/35496737 http://dx.doi.org/10.4322/acr.2021.369 Text en Copyright © 2022 The Author(s). https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Case Report and Review
Lo, Chun-hai
Tsang, Po-man
Cheng, Shui-ying
Ling, Cheuk-nam
Ho, Cheuk-lam
Epidermoid cyst in an intrapancreatic accessory spleen with abnormally high CEA level in cyst fluid: a case report
title Epidermoid cyst in an intrapancreatic accessory spleen with abnormally high CEA level in cyst fluid: a case report
title_full Epidermoid cyst in an intrapancreatic accessory spleen with abnormally high CEA level in cyst fluid: a case report
title_fullStr Epidermoid cyst in an intrapancreatic accessory spleen with abnormally high CEA level in cyst fluid: a case report
title_full_unstemmed Epidermoid cyst in an intrapancreatic accessory spleen with abnormally high CEA level in cyst fluid: a case report
title_short Epidermoid cyst in an intrapancreatic accessory spleen with abnormally high CEA level in cyst fluid: a case report
title_sort epidermoid cyst in an intrapancreatic accessory spleen with abnormally high cea level in cyst fluid: a case report
topic Clinical Case Report and Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9037849/
https://www.ncbi.nlm.nih.gov/pubmed/35496737
http://dx.doi.org/10.4322/acr.2021.369
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