Endosonographic and elastographic features of a rare epidermoid cyst of an intrapancreatic accessory spleen

Khashab, Mouen A.; Canto, M. I.; Singh, Veena; Hruban, Ralph H.; Makary, Martin A.; Giday, Samuel A.

doi:10.1055/s-0030-1256272

Cited by 20 publications

(15 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[4] reported the first case of ECIPAS; and since then 33 articles and 36 patients have been reported in the English language literature (Table 1), suggesting the rarity of the disease. However, the exact incidence of ECIPAS is difficult to determine as over 50% of the cases were incidentally detected [8,9,12,14,15,18,19,22-24], [26,27,30,32,34]. The mean age of the patients was 46.1 years (range 12 to 70 years), with a female preponderance (58.3%) [6,7,10-13,16,17,19-21,24-26,28], [31,33,34,36].…”

Section: Discussionmentioning

confidence: 99%

“…The histological findings of an ECIPAS in most cases demonstrate a unilocular or multilocular cyst lined by stratified squamous epithelium, keratinizing or not, and surrounded by normal splenic tissue [4-17,19-23,26-29,32-34]. No skin appendages have been identified [4-34].…”

Section: Discussionmentioning

confidence: 99%

“…No skin appendages have been identified [4-34]. Immunohistochemical examinations of lining epithelium demonstrate positivity for CA 19-9 [6,10-12,15,18,20,22,24,27], [30] and CEA [10-12,15,22,24,29].…”

Section: Discussionmentioning

confidence: 99%

“…On MRI, the cystic component was hypointense on T1-weighted images and hyperintense on T2-weighted images [13,18-20,23,29,33]. However, in most cases a diagnosis of a mucinous cystadenoma [4,15,18-21,26,27,30,31], cystadenocarcinoma [4,16,18,20], pseudocyst [4,5,17], or a potential malignant tumor [25,34] was suspected. Interestingly, in two cases [23,29], an ECIPAS was diagnosed in one [23] and strongly suspected in the other [29] based on CT and MRI findings.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Epidermoid cyst of an intrapancreatic accessory spleen: a case report and literature review

et al. 2014

View full text Add to dashboard Cite

BackgroundAn epidermoid cyst in an intrapancreatic accessory spleen is a rare lesion. Despite advances in radiologic techniques, in most cases it has been diagnosed preoperatively as a possible pancreatic neoplasm.Case presentationHerein, we present a 63-year-old Caucasian woman, diagnosed preoperatively with enhanced-contrast abdominal computed tomography, as having a potential cystic tumor in the tail of the pancreas. The patient underwent a distal pancreatectomy and splenectomy, and the histological examination revealed the presence of an epidermoid cyst of an accessory intrapancreatic spleen.ConclusionsFamiliarity with the imaging features, the clinical presentation and the location of the cyst are important to consider if this rare entity is to be included in the differential diagnosis of cystic neoplasms of the pancreas.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Epidermoid cyst of an intrapancreatic accessory spleen: a case report and literature review

et al. 2014

View full text Add to dashboard Cite

show abstract

“…The occurrence of an accessory spleen is not rare; it affects approximately 10% of the general population, and 16% of all cases are intrapancreatic (1), However, the development of an epidermoid cyst of intrapancreatic accessory spleen (IPAS) is not common, with 30 cases (2–29) described in the literature since Davidson et al (2) described the first case of epidermoid cyst of IPAS. Due to the difficulty in differentiating the lesion from a cystic neoplasm of the pancreas by an imaging study (4), the majority have been diagnosed following surgical resection, with the exception of one case by Itano et al (5).…”

Section: Introductionmentioning

confidence: 99%

Epidermoid cyst arising from an intrapancreatic accessory spleen: A case report and review of the literature

et al. 2012

View full text Add to dashboard Cite

We describe an epidermoid cyst arising from an accessory spleen of the pancreas. A 56-year-old female with iron deficiency anemia presented with dizziness. During the clinical workup, a 2×4 cm-sized mass was incidentally detected in the tail of the pancreas in a computed tomography (CT) scan. Under a clinical diagnosis of pancreatic cystic malignant tumor, a distal pancreatectomy was carried out. Grossly, the lesion was composed of a solid and cystic portion. Microscopic analysis revealed that the solid portion was an intrapancreatic accessory spleen and the cystic portion was an epidermoid cyst. An epidermoid cyst in an intrapancreatic accessory spleen is extremely rare and hence difficult to diagnose pre-operatively. Taking into account the possibility of such a cyst in the differential diagnosis of intrapancreatic cystic lesion is recommended.

show abstract

A lymphoepithelial cyst in the pancreatic accessory spleen: A case report

Hiroi

Hamaoka

Yamamoto

et al. 2021

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

Endosonographic and elastographic features of a rare epidermoid cyst of an intrapancreatic accessory spleen

Cited by 20 publications

References 0 publications

Epidermoid cyst of an intrapancreatic accessory spleen: a case report and literature review

Epidermoid cyst of an intrapancreatic accessory spleen: a case report and literature review

Epidermoid cyst arising from an intrapancreatic accessory spleen: A case report and review of the literature

A lymphoepithelial cyst in the pancreatic accessory spleen: A case report

Contact Info

Product

Resources

About