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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/...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hospital Universitário da Universidade de São Paulo
2022
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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. |
format | Online Article Text |
id | pubmed-9037849 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Hospital Universitário da Universidade de São Paulo |
record_format | MEDLINE/PubMed |
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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