Cystic Teratoma of the Pancreas: A Rare Entity

Zhang, Alison; Thompson, Sarah K.; Game, Philip A.; Allin, Jonathan J.

doi:10.1111/j.1445-2197.2008.04766.x

Cited by 10 publications

(9 citation statements)

References 7 publications

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“…Although such teratomas have been shown to develop anywhere in the pancreas, most lesions are located in the body or the head (47% and 41%, resp. ), while the tail of the pancreas is less frequently involved (12%) [4, 5]. In our patient, the lesion was situated on the inferior portion of the pancreatic head.…”

Section: Discussionmentioning

confidence: 69%

“…Patients may complain of nonspecific gastrointestinal symptoms such as nausea and vomiting, weight loss, anorexia, fatigue, abdominal pain, back pain, and fever [3–5]. Laboratory tests are usually unremarkable unless the lesion hinders the flow of biliary or pancreatic fluids.…”

Section: Discussionmentioning

confidence: 99%

“…In a recent review, it was established that more than 70% of excised pancreatic cystic lesions reported were either malignant or premalignant, and based on these findings it is recommended that surgical excision be undertaken for any symptomatic cystic lesion as well as any lesion larger than 2-3 cm in size, particularly if discovered in an elderly patient [5]. Not only would excision of the lesion provide definitive diagnosis, it is also expected to lessen symptoms [1, 5]. External drainage should be avoided as it may be associated with a risk of developing a persistent fistula requiring surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

“…External drainage should be avoided as it may be associated with a risk of developing a persistent fistula requiring surgical intervention. Simple excision (enucleation or cystectomy) of the lesion, preceded by intraoperative frozen section, usually suffices as recurrence or evidence of malignant degeneration, has not been reported [4, 5]. …”

Section: Discussionmentioning

confidence: 99%

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Dermoid Cyst of the Pancreas: A Report of an Unusual Case and a Review of the Literature

Albayrak

Yıldırım

Aydin

2013

Case Reports in Pathology

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Pancreatic dermoid cysts are a rare entity. Preoperative diagnosis is difficult. The diagnosis is generally taking intraoperative. A 20-year-old female presented with epigastric pain without nausea, vomiting, diarrhea, fever, jaundice, and weight loss of one-month duration. Ultrasonography and computed tomography showed a smooth borders, solid, hyperechoic tumor within midline abdomen, without any connection to the stomach or spleen. At surgery, the entire mass was excised off of the head and inferior part of pancreas. Histopathologic evaluation revealed the rare diagnosis of a dermoid cyst. The diagnosis is difficult preoperatively in evaluating cystic pancreatic lesions by imaging. Therefore, we want to summarize the literature on this rare entity knowledge.

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Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Dermoid Cyst of the Pancreas: A Report of an Unusual Case and a Review of the Literature

Albayrak

Yıldırım

Aydin

2013

Case Reports in Pathology

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“… 2, 3 More than 70% of excised pancreatic cystic lesions are either malignant or premalignant, and surgical excision should be considered for any symptomatic cystic lesion or lesion larger than 2–3 cm in size. 1, 4 Surgical resection is the definitive treatment and cure for MCTs, and is indicated in consideration of the difficulty diagnosing MCTs preoperatively.…”

Section: Case Reportmentioning

confidence: 99%

Mature Cystic Teratoma of the Pancreas

Chakaravarty¹,

Venkata²,

Manicketh³

et al. 2016

ACG Case Reports Journal

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We report a case of a 41-year-old man with a mature cystic teratoma (MCT) of the pancreas, who presented with a 6-month history of dull, aching pain and tense, globular, ill-defined upper abdominal swelling. Abdominal ultrasound showed a 5 x 4.8 cm tumor in the pancreatic body, with mixed cystic and solid components. Serum amylase, lipase, CA 19-9, and carcinoembryonic antigen were normal. A contrast abdominal computerized tomography (CT) scan of the showed a pancreatic mass with solid as well as cystic components and calcification. Endoscopic ultrasound (EUS) showed a 4.8 x 4.5 cm pancreatic mass with solid and cystic components and central and peripheral calcific specks. EUS fine-needle aspiration (FNA) from the cyst revealed mucus-like material, suspicious for mucinous cystadenoma. Cyst fluid analysis for CA 19-9 and CEA was negative. Cystectomy was performed on a cyst in the inferior surface of the head and body of the pancreas. The contents of the cyst showed hair and a tooth (Figure 1). Histopathology sections showed bony trabeculae with marrow elements, hyaline cartilage, nerve bundles with ganglion cells, hair shafts, adipose tissue, keratinous material, focal areas of calcification, and fragments of stratified squamous epitheliumsuggestive of mature cystic teratoma of pancreas (Figure 2). There was no evidence of malignancy.MCT of the pancreas is a rare entity with 30 cases reported in the literature to date.1 Preoperative diagnosis of pancreatic MCT is challenging. Magnetic resonance imaging (MRI) T1-weighted images show cystic lesions with distinct margins and fat-fluid levels of low intensity. EUS-FNA is a safe and cost-effective technique to detect both malignant and benign neoplasms of the pancreas, allowing for differentiation between solid tumors, cystic neoplasm, pseudocyst, and reactive change.2 EUS-FNA of the pancreas is both sensitive and specific (64-98% and 80-100%, respectively), and has a high positive predictive value (98.4-100%).2,3 More than 70% of excised pancreatic cystic lesions are either malignant or prema-ACG Case Rep J 2016;3(2):80-81.

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