Large lymphoepithelial cyst of pancreas: a rare entity managed using lumen-apposing metal stent—case report and review of the literature

Chowdhry, Monica; Bilal, Mohammad; Shah, Hamza; Clanton, Jesse; Singh, Shailendra

doi:10.1007/s12328-019-00982-y

Cited by 7 publications

(3 citation statements)

References 13 publications

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“…Surgical resection through laparoscopy is well-indicated for these cases with excellent patient recovery. Endocoscopic ultrasound FNA has been reported in successfully management of LECs in symtopmatic patients with lumen occlusion by metal stent [ 4 , 7 , 11 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

Lymphoepithelial cyst of uncinated process of the pancreas associated with chronic cholecystitis: Case report and review of literature

Costa¹,

Castro

Lira

et al. 2022

Annals of Medicine &Amp; Surgery

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Section: Discussionmentioning

confidence: 99%

Lymphoepithelial cyst of uncinated process of the pancreas associated with chronic cholecystitis: Case report and review of literature

Costa¹,

Castro

Lira

et al. 2022

Annals of Medicine &Amp; Surgery

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“…In a review recently reported by Osiro and colleagues, it was mentioned that preoperative diagnosis of PLECs could be provided with 3D-CT scans, in-phase and out-of-phase magnetic resonance scans, and FNAB studies with the guidance of CEEUS [12]. EUS can also be used in the treatment of symptomatic or complicated PLECs [13]. In a small series including 6 patients published by Martin et al, surgical treatment was applied to all patients because mucinous cystic neoplasm could not be ruled out although CT, MRI, and EUS-FNAB were used all together [14].…”

Section: Discussionmentioning

confidence: 99%

Coexistence of pancreatic lymphoepithelial cyst and uroepithelial carcinoma: A rare case report

Avcıoğlu¹

2022

J Clin Images Med Case Rep

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Pancreatic Lymphoepithelial Cysts (PLECs) are very rare and benign lesions of the pancreas. They are commonly detected incidentally during radiological examinations. Proper diagnosis of Pancreatic Cystic Lesions (PCLs) is very important, and physicians should be aware of the different types of cystic lesions and their characteristics before the treatment choice. However, preoperative diagnosis of PLECs, which have no malignant potential and rarely symptomatic or cause complication, are difficult due to nonspecific imaging and the presence of cytological features that overlap with other PCLs. Although many methods are used to avoid unnecessary surgery, most cases are diagnosed after surgery. We report a very rare case of PLEC with coexisting uroepithelial carcinoma.

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“…Pancreatic lymphoepithelial cyst (LEC) is a rare, benign collection of keratinizing squamous epithelial cells encapsulated by lymphoid tissue [1,2]. About 200 cases of LEC have been described in English literature since the 1980s [1,3,4], with the first case described in German literature [5]. Because of its limited data and nonspecific features that are usually described only in case series, the pathogenesis, clinical features, and diagnosis of LEC are not well understood.…”

Section: Introductionmentioning

confidence: 99%

A Rare Presentation of Pancreatic Lymphoepithelial Cyst: A Case Report and Review

Kim

Ramay

Richards

et al. 2020

Case Reports in Medicine

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Pancreatic lymphoepithelial cyst (LEC) is a rare, benign collection of keratinizing squamous epithelial cells encapsulated by lymphoid tissue. Because of its limited data and nonspecific features that can mimic malignant lesions, LECs can lead to unnecessary operations. A 62-year-old male with a known pancreatic mass presented with abdominal pain. CT scan showed an increased mass in the pancreatic head, and endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) revealed “rare fragments of benign-appearing squamous epithelium in a background of keratin debris, cyst contents, and scattered lymphocytes,” consistent with a lymphoepithelial cyst. Pancreatic LEC is an extremely rare lesion that comprises of only 0.5% of all pancreatic cysts. EUS-FNA has become the mainstay for diagnosing pancreatic LECs. Given the slow growing and benign nature, conservative management and observation is adequate for pancreatic LECs with excellent long-term outcome. With increasing number of imaging ordered by clinicians, it is anticipated that there will be a greater number of incidental pancreatic LECs detected. Thus, EUS-FNA should be utilized more frequently to help distinguish benign pancreatic LECs from premalignant or malignant lesions to avoid surgery.

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Large lymphoepithelial cyst of pancreas: a rare entity managed using lumen-apposing metal stent—case report and review of the literature

Cited by 7 publications

References 13 publications

Lymphoepithelial cyst of uncinated process of the pancreas associated with chronic cholecystitis: Case report and review of literature

Lymphoepithelial cyst of uncinated process of the pancreas associated with chronic cholecystitis: Case report and review of literature

Coexistence of pancreatic lymphoepithelial cyst and uroepithelial carcinoma: A rare case report

A Rare Presentation of Pancreatic Lymphoepithelial Cyst: A Case Report and Review

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